Understanding Varicose Eczema

A Comprehensive Guide to Venous Eczema Management

Dermatology

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Last updated: Mar 24, 2025

What is Varicose Eczema?

Varicose eczema, also known as stasis dermatitis or venous eczema, is a chronic skin condition that affects the lower legs. It occurs due to poor blood flow in the leg veins, typically associated with varicose veins.

Key Symptoms

  • Itchy, red, and scaly skin
  • Swelling around the ankles
  • Brown discoloration of the skin
  • Hardened, thickened skin
  • Small white scars (atrophie blanche)
  • Heavy or aching legs

Risk Factors

  • Age (more common in people over 50)
  • Previous deep vein thrombosis (DVT)
  • Multiple pregnancies
  • Obesity
  • Standing or sitting for long periods
  • Varicose veins

Treatment Options

Medical Treatments

  1. Topical corticosteroids
  2. Emollients and moisturizers
  3. Compression stockings
  4. Antibiotics (if infection present)

Self-Care Measures

  • Elevate legs regularly
  • Exercise to improve circulation
  • Maintain healthy weight
  • Avoid standing/sitting for long periods

Complications

If left untreated, varicose eczema can lead to:

  • Leg ulcers
  • Chronic skin changes
  • Secondary infections
  • Cellulitis

Prevention Strategies

  1. Regular exercise
  2. Weight management
  3. Proper skin care routine
  4. Consistent use of compression stockings
  5. Regular leg elevation

When to Seek Medical Help

Consult your healthcare provider if you experience:

  • Severe swelling
  • Intense pain
  • Signs of infection
  • Non-healing wounds
  • Rapidly worsening symptoms

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