Fibrotic skin thickening and hyperpigmentation are classical features in any skin tone. Hemosiderin deposition of this disease can present on a spectrum from broad erythema to violaceous hues and hyperpigmented plaques with areas of ulceration as the skin tone darkens.

Sometimes stasis dermatitis is misdiagnosed for cellulitis. Note the symmetric or diffusely scattered pattern which is a key clue in diagnosing stasis dermatitis, as bilateral cellulitis is less likely.

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