Stasis dermatitis

Skin inflammation due to poor circulation, often occurring in the lower legs

Overview

Stasis dermatitis, also known as venous eczema or gravitational dermatitis, is a condition that occurs when there is poor blood circulation in the lower legs. It usually affects individuals with underlying venous insufficiency, where the veins struggle to return blood back to the heart. Stasis dermatitis causes skin inflammation, redness, itching, and other symptoms.

Symptoms

Signs and symptoms of stasis dermatitis may include:

  • Redness: The affected skin may appear red, irritated, or inflamed.
  • Itching: The skin can be intensely itchy, leading to scratching and potential skin breakdown.
  • Swelling: Swelling, known as edema, can occur in the lower legs and ankles.
  • Dry, scaly skin: The skin may become dry, flaky, and develop scales or crusts.
  • Skin discoloration: Over time, the skin may darken or develop brown pigmentation.

Causes and Risk Factors

Stasis dermatitis is primarily caused by venous insufficiency, which leads to pooling of blood in the lower legs. Risk factors for developing stasis dermatitis include:

  • Varicose veins: Enlarged, twisted veins that impair blood flow.
  • Obesity: Excess weight can put additional pressure on the veins.
  • Pregnancy: Hormonal changes and increased blood volume during pregnancy can contribute to venous insufficiency.
  • Age: Stasis dermatitis is more common in older adults.
  • History of blood clots: Previous blood clots can damage the veins and disrupt blood flow.

Treatment

Treatment options for stasis dermatitis aim to relieve symptoms, improve blood circulation, and prevent complications. Common treatment methods include:

  • Compression therapy: Wearing compression stockings to support vein function and reduce swelling.
  • Elevating the legs: Raising the legs above heart level to promote blood flow.
  • Topical medications: Applying corticosteroid creams or ointments to reduce inflammation and itching.
  • Moisturizers: Using emollients or moisturizing creams to keep the skin hydrated.
  • Managing underlying conditions: Treating any underlying venous insufficiency or other contributing factors.

Self-Care and Prevention

To manage stasis dermatitis and reduce the risk of flare-ups:

  • Elevate your legs: Raise your legs above heart level several times a day to improve circulation.
  • Maintain a healthy weight: Losing weight if overweight can help reduce the strain on the veins.
  • Avoid prolonged standing or sitting: Take breaks and move around to prevent blood from pooling in the legs.
  • Keep skin moisturized: Apply moisturizers regularly to prevent dryness and promote skin health.
  • Follow a doctor’s advice: Follow the prescribed treatment plan and attend regular follow-up appointments.

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