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Early stasis changes over the left upper limb distal to the arteriovenous fistula
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Received: ,
Accepted: ,
How to cite this article: Gupta P, Yadav T, Sangwan P. Early stasis changes over the left upper limb distal to the arteriovenous fistula. CosmoDerma. 2026;6:80. doi: 10.25259/CSDM_124_2026
A 48-year-old female presented with asymptomatic progressive hyperpigmentation of the left hand and forearm for 3 years. She was a known case of chronic kidney disease, undergoing maintenance hemodialysis. Clinical examination showed discrete to coalescing brownish macules over affected sites. In addition, there were prominent dilated veins over the left medial arm, indicating an arteriovenous fistula (AVF) [Figures 1a and b]. A diagnosis of localized stasis pigmentation secondary to AVF was made.
Stasis dermatitis has been rarely reported on the upper limbs.[1] Early presentations may only have hyperpigmentation, which can be confused with post-inflammatory hyperpigmentation, extra-facial melasma, or acquired dermal macular hyperpigmentation.
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Declaration of patient consent:
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patients have given their consent for their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Conflicts of interest:
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation:
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript, and no images were manipulated using AI.
Financial support and sponsorship: Nil.
References
- Ulcerating stasis dermatitis of the forearm due to arteriovenous fistula: A case report and review of the published work. J Dermatol. 2010;37:550-2.
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