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07 September 2026 : Case report  Japan

Refractory Stasis Dermatitis Due to Chronic Venous Insufficiency With Psychosocial Worsening in 2 Septuagenarian Patients Treated With Hyaluronic Acid–Succinic Acid Intradermotherapy

Unusual clinical course, Unusual setting of medical care

Qiaofeng Zhao BCDEFG 1, Marjorie P. Zambrano ORCID logo DEF 2, Sofia Brito DEF 3,4, Bum-ho Bin DEF 3,4, Yuping Ran ORCID logo DEF 5,6, Alberto Leguina-Ruzzi ORCID logo ABCDEF 7,8*

DOI: 10.12659/AJCR.953520

Am J Case Rep 2026; 27:e953520

Figure 3 Clinical improvement of unilateral stasis dermatitis following intradermotherapy with HMWNCHA and SA in Case 2. Serial clinical photographs of a 75-year-old female patient with unilateral stasis dermatitis of the left ankle treated with intradermal microinjections of HMWNCHA combined with SA. (A) Baseline presentation showing an erythematous lesion associated with xerosis and skin damage. (B) Clinical appearance 1 month after the first treatment session, demonstrating reduction in erythema and improvement in skin hydration. (C) Clinical appearance 1 month after the second treatment session (2 months after treatment initiation), showing marked reduction in lesion size and progressive skin regeneration. (D) Six-month follow-up after the second treatment session (8 months after treatment initiation), demonstrating near-complete resolution of the lesion and maintenance of clinical remission. HMWNCHA, high-molecular-weight non-crosslinked hyaluronic acid; SA, succinic acid.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923