Venous stasis ulceration with surrounding atrophy blanche (white, scarred plaque surrounding the small ulcer). Some cayenne pepper-like dermatitis surrounding the ulcer, typical of venous stasis.

Medial lower leg with stasis ulceration that is clean with base of healthy granulation tissue. Note hyperpigmentation of surrounding skin and its tight appearance, indicating chronicity.

Chronic stasis dermatitis with ulceration. Medial malleolus shows a small clean ulcer, surrounding scar from prior healing, lower leg dermatitis, and some varicosities on the foot.