Alex Mohapatra graced us with a case of stasis dermatitis that then resulted in a “generalized autoeczematization,” or “id” reaction.
What’s that you ask? Most commonly it occurs secondary to a tinea infection or eczema, but can occur with any sort of dermatitis (allergic, contact). 1-2 weeks after the initial rash, in this case a gentleman with chronic venous stasis and a flare of pruritic stasis dermatitis, a generalized dermatitis forms distal to the initial site, in this case the gentleman’s back and shoulders. He was treated symptomatically for his upper body rash and then targeted treatment for his stasis dermatitis with topical dressings, steroids and moisturizers.