Lipodermatosclerosis is a very common form of lobular panniculitis that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Lipodermatosclerosis is a result of venous insufficiency in the lower legs typically occuring in obese patients. The skin below the knees becomes red, indurated and very painful. As the disease progresses, the legs develop the appearance of “an inverted champagne bottle.” Treatment involves losing weight, vascular procedures to treat the underlying cause, topical and intralesional steroids as well as the oral medicine trental.
