People with lipodermatosclerosis have tapering of their legs above the ankles, forming a constricting band resembling an inverted champagne bottle. [3][5] In addition, there may be brownish-red pigmentation and induration. [5] Induration, erythema, and pain continue in the chronic phase of lipodermatosclerosis.

Understanding the Context

Subcutaneous fibrosis may result in significant narrowing of the distal lower limb, causing the leg to have an ‘upside-down champagne bottle’ appearance [1,2]. Chronic lipodermatosclerosis, which occurs when the skin condition is present for more than one year, results in the leg taking on a tapered appearance, often referred to as an ‘inverted champagne bottle’. Cellulitis is most often an acute reaction to a specific trigger. Chronic phase: hyperpigmented red-brown or violet-brown discoloration and indurated skin that constricts the ankle region, resulting in an “inverted champagne bottle” appearance.

Key Insights

The skin can become shiny, swollen and tight, sometimes taking on an inverted “champagne bottle” shape, with narrowing above the ankle and swelling in the calf. The area may be painful, warm to the touch, and cause discomfort when walking or standing, limiting mobility and daily activities. Lipodermatosclerosis is a medical condition that affects the lower legs between ankle and calf muscle. This area of the leg is classically called the “gaiter” area, as it is the position where bishops used to wear gaiters on their lower legs.