Żylakiowe zapalenie skóry
Charakterystyka, pielęgnacja i opieka

Żylakowe zapalenie skóry (varicose eczema) to przewlekła choroba zapalna skóry dolnych kończyn, związana z przewlekłą niewydolnością żylną i występująca u około 20% osób powyżej 70. roku życia, częściej u kobiet. Patogeneza opiera się na zwiększonym ciśnieniu w żyłach, prowadzącym do przecieku płynu i komórek krwi do tkanek, co wywołuje obrzęk, stan zapalny i wtórne zmiany skórne, takie jak przebarwienia, lipodermatoskleroza i owrzodzenia. Objawy obejmują świąd, suchość, łuszczenie, przebarwienia (ciemnobrązowe/fioletowe), obrzęk, pogrubienie skóry oraz w zaawansowanych przypadkach pękanie i owrzodzenia, szczególnie w okolicy kostek. Diagnostyka opiera się na badaniu klinicznym i ocenie przepływu krwi w żyłach, często z wykorzystaniem USG duplex, a różnicowanie obejmuje wykluczenie cellulitis.

Żylakiowe zapalenie skóry – czym jest?

Żylakiowe zapalenie skóry (varicose eczema), znane również jako wyprysk żylakowy, wyprysk zastoinowy lub wyprysk grawitacyjny, to przewlekła choroba zapalna skóry, która dotyka głównie dolne części nóg u osób z przewlekłą niewydolnością żylną12. Stan ten występuje często u osób z żylakami, choć nie zawsze żylaki muszą być widoczne3. Choroba ta dotyka około 20% osób powyżej 70. roku życia, częściej występuje u kobiet i może znacząco obniżać jakość życia456.

Nieleczone żylakiowe zapalenie skóry może prowadzić do powstania owrzodzeń żylnych, które są trudne do wyleczenia i często nawracają78. Stan ten jest częścią kontinuum choroby żylnej i występuje u około 37-44% pacjentów z owrzodzeniami podudzi9.

Patofizjologia żylakowego zapalenia skóry

Główną przyczyną żylakowego zapalenia skóry jest zwiększone ciśnienie w żyłach nóg, które prowadzi do niewydolności żylnej10. Gdy zastawki żylne nie funkcjonują prawidłowo, krew cofa się i gromadzi w żyłach, powodując ich rozszerzenie (żylaki)11. Zwiększone ciśnienie w żyłach powoduje, że płyn i komórki krwi przedostają się do otaczających tkanek, co prowadzi do obrzęku i stanu zapalnego skóry1213.

Żylakowe zapalenie skóry wydaje się być związane z gromadzeniem się płynu w tkankach i aktywacją odpowiedzi immunologicznej14. Wieloletnia niewydolność żylna może prowadzić do wtórnych zmian skórnych, takich jak przebarwienia, lipodermatoskleroza (stwardnienie i zwłóknienie podskórnej tkanki tłuszczowej) i owrzodzenia15.

Objawy kliniczne

Objawy żylakowego zapalenia skóry mogą się różnić w zależności od nasilenia i zwykle obejmują1617:

  • Swędzącą, suchą, łuszczącą się skórę18
  • Zmiany koloru skóry, zwykle ciemnobrązowe lub fioletowe19
  • Obrzęk, szczególnie po długim staniu lub siedzeniu20
  • Skórę, która może stać się wypryskowa, weepingowa i pokryta strupami21
  • Pogrubienie i stwardnienie skóry (lipodermatoskleroza)22
  • Ból lub tkliwość dotknietego obszaru23
  • W zaawansowanych przypadkach, pękanie i rozpad skóry prowadzący do owrzodzeń, szczególnie w okolicy kostek24

Żylakowe zapalenie skóry zazwyczaj zaczyna się w okolicy kostki i z czasem może przesuwać się w górę łydki25. Skóra może stać się nadwrażliwa na dotyk, a stosowanie zwykłych balsamów nawilżających może powodować pieczenie i kłucie26.

Diagnostyka żylakowego zapalenia skóry

Diagnoza żylakowego zapalenia skóry opiera się głównie na badaniu klinicznym2728. Lekarz oceni stan skóry oraz zada pytania dotyczące przepływu krwi w żyłach nóg, ponieważ jest to główna przyczyna żylakowego zapalenia skóry29.

Jeśli podejrzewa się niewydolność żylną, może być konieczne skierowanie do specjalisty naczyniowego w celu wykonania badania ultrasonograficznego duplex, które pomoże ocenić przepływ krwi w żyłach i zidentyfikować nieprawidłowości30. W przypadku braku odpowiedzi na leczenie, lekarz może również rozważyć testy płatkowe w celu sprawdzenia, czy nie rozwinęło się kontaktowe zapalenie skóry3132.

Różnice w diagnostyce

Ważne jest, aby odróżnić żylakowe zapalenie skóry od innych stanów, takich jak zapalenie tkanki łącznej (cellulitis), które może wymagać innego leczenia33. Cellulitis zwykle charakteryzuje się nagłym początkiem, wyraźnie odgraniczonym rumieniem, gorączką i ogólnym złym samopoczuciem, podczas gdy żylakowe zapalenie skóry ma bardziej przewlekły przebieg i często towarzyszą mu zmiany skórne takie jak łuszczenie się i przebarwienia34.

Leczenie żylakowego zapalenia skóry

Leczenie żylakowego zapalenia skóry skupia się na poprawie stanu skóry, łagodzeniu objawów i poprawie krążenia krwi3536. Dla większości pacjentów leczenie obejmuje kombinację następujących metod:

Metody samopomocy

Podstawowe metody samopomocy mogą znacznie zmniejszyć objawy żylakowego zapalenia skóry i zapobiec dalszym problemom3738:

  • Unikanie urazów skóry – urazy mogą prowadzić do rozwoju owrzodzeń3940
  • Unoszenie nóg podczas odpoczynku – najlepiej powyżej poziomu serca, co pomaga zmniejszyć obrzęk4142
  • Aktywność fizyczna – regularne ćwiczenia poprawiają krążenie i pomagają utrzymać zdrową wagę4344
  • Unikanie długotrwałego stania lub siedzenia w jednej pozycji4546
  • Noszenie luźnych, bawełnianych ubrań – ciasne lub szorstkie tkaniny mogą podrażniać skórę i wpływać na krążenie4748

Emolienty (nawilżające)

Emolienty to preparaty nawilżające stosowane bezpośrednio na skórę w celu zmniejszenia utraty wody i pokrycia jej ochronną warstwą4950. Są one kluczowym elementem leczenia żylakowego zapalenia skóry51:

  • Osoby z żylakowym zapaleniem skóry powinny stosować emolienty co najmniej 2 razy dziennie, nawet jeśli nie mają objawów5253
  • Szczególnie ważne jest kontynuowanie stosowania emolientów podczas zaostrzeń żylakowego zapalenia skóry, ponieważ wtedy skóra najbardziej potrzebuje nawilżenia5455
  • Należy wybierać preparaty bez zapachów, barwników i perfum, aby uniknąć podrażnienia skóry56
  • Wazelina i gęste kremy są dobrymi opcjami5758
  • W przypadku bardzo łuszczącej się skóry, krem z mocznikiem może być skuteczny59

Miejscowe kortykosteroidy

Jeśli skóra jest zapalona z powodu zaostrzenia żylakowego zapalenia skóry, lekarz może przepisać miejscowe kortykosteroidy (stosowane bezpośrednio na skórę) w celu szybkiego zmniejszenia stanu zapalnego6061:

  • Kortykosteroidy o średniej lub dużej mocy mogą być stosowane przerywanie w celu złagodzenia świądu62
  • Powinny być stosowane tylko na zapalnie zmienione miejsca i przez krótki czas, aby uniknąć atrofii skóry i efektów ogólnoustrojowych6364
  • W przypadku uporczywych zmian, skutecznym leczeniem może być stosowanie silnego lub bardzo silnego steroidu miejscowego (np. maści Betnovate-C) pod bandażami leczniczymi, takimi jak ZIPZOC lub Viscopaste65
  • Po ustąpieniu wyprysku, jeśli steroidy są potrzebne regularnie, można zmienić na miejscowy inhibitor kalcyneuryny, taki jak maść Protopic 0,1% (Takrolimus 0,1%)66

Należy pamiętać, że długotrwałe stosowanie kremów steroidowych może prowadzić do ścieńczenia skóry, co czyni ją bardziej podatną na dalsze uszkodzenia67.

Pończochy kompresyjne

Medyczne pończochy kompresyjne są specjalnie zaprojektowane, aby stopniowo uciskać nogi, pomagając poprawić krążenie6869:

  • Są najciaśniejsze na stopie i kostce, a luźniejsze wyżej na nodze, co pomaga w przepływie krwi w górę nóg70
  • Poprawiają przepływ krwi przez żyły nóg i zmniejszają ciśnienie w żyłach7172
  • Kompresję należy stosować ze średnim ciśnieniem i działa najlepiej u pacjentów chodzących73
  • Przed zastosowaniem pończoch kompresyjnych może być konieczne badanie doplerowskie w celu upewnienia się, że nie występuje niewydolność tętnicza74

Wiele osób niechętnie nosi pończochy kompresyjne z różnych powodów, takich jak dyskomfort, trudność w zakładaniu lub wygląd kosmetyczny, ale mogą one skutecznie zapobiegać poważnym problemom, takim jak owrzodzenia7576.

Leczenie powikłań

W przypadku powikłań związanych z żylakowym zapaleniem skóry, mogą być konieczne dodatkowe metody leczenia77:

  • Jeśli skóra wydaje się zakażona (asymetryczny rumień i tkliwość, zwykle z gorączką), należy empirycznie leczyć odpowiednim antybiotykiem, np. flukloksacyliną (z lub bez penicyliny V) lub klarytromycyną/erytromycyną w przypadku alergii na penicylinę, przez 10-14 dni78
  • Owrzodzenia lub sączące się zmiany mogą wymagać specjalnych opatrunków, które należy początkowo zmieniać co 2-3 dni, a z czasem raz lub dwa razy w tygodniu79
  • Ostre, mokre, sączące się zapalenie żylakowe wymaga moczenia dolnej części nogi przez 20 minut w roztworze nadmanganianu potasu 1:10 00080
  • Duże owrzodzenie może wymagać przeszczepu skóry8182

Leczenie żylaków

W niektórych przypadkach konieczne może być leczenie leżących u podstaw żylaków, aby skutecznie kontrolować żylakowe zapalenie skóry8384:

  • Pacjenci mogą być skierowani do lekarza lub chirurga specjalizującego się w chorobach naczyń (specjalista naczyniowy), który może omówić opcje leczenia żylaków85
  • Nowsze, mniej inwazyjne metody leczenia żylaków obejmują:
    • Skleroterapię pianą pod kontrolą USG86
    • Ablację termiczną endovenous87
    • Ambulatoryjną flebektomię88
    • Leczenie przy użyciu superkleju89

Rola pielęgniarki w opiece nad pacjentem z żylakowym zapaleniem skóry

Pielęgniarki odgrywają kluczową rolę w diagnostyce, leczeniu i zarządzaniu żylakowym zapaleniem skóry9091:

Diagnostyka i ocena

  • Pielęgniarki mogą diagnozować żylakowe zapalenie skóry na podstawie cech klinicznych92
  • Dokładna obserwacja i klasyfikacja CEAP (Kliniczna, Etiologiczna, Anatomiczna, Patofizjologiczna) są pomocne w diagnostyce93
  • Po zdiagnozowaniu żylakowego zapalenia skóry, priorytetem jest ocena i leczenie objawów94

Prowadzenie leczenia

Pielęgniarki mogą pomóc w zarządzaniu następującymi elementami leczenia95:

  • Terapia emolientami w połączeniu z delikatnym oczyszczaniem skóry jest niezbędna do utrzymania zdrowia skóry96
  • Emolienty nawilżają skórę, zmniejszają łuszczenie się i redukują ryzyko zaostrzeń i infekcji97
  • Steroidy są istotnym elementem leczenia ciężkiego żylakowego zapalenia skóry i są stosowane z emolientami do leczenia ostrych i podostrych zaostrzeń98
  • Jedną z metod zmniejszenia obrzęku nóg jest kompresja, przy użyciu pończoch kompresyjnych lub, w przypadku silnego obrzęku, bandaży kompresyjnych99

Edukacja i wsparcie pacjenta

Pielęgniarki odgrywają ważną rolę w edukacji i wsparciu pacjentów100101:

  • Pacjenci żyjący z żylakowym zapaleniem skóry wymagają wsparcia i wskazówek w celu poprawy umiejętności samokontroli i jakości życia102
  • Pielęgniarki mogą współpracować z pacjentami, którzy mają chorobę żylną, aby poprawić ich zdrowie i dobre samopoczucie, udzielając im porad dotyczących utraty wagi, odpowiednich ćwiczeń i postawy103
  • Mogą pomagać pacjentom poprzez diagnozowanie żylakowego zapalenia skóry, ocenę i leczenie objawów, kierowanie pacjentów, którzy potrzebują leczenia żylaków, doradzanie w sprawie zmian stylu życia i leczenie wszelkich innych problemów, które obniżają jakość życia104

Zapobieganie zaostrzeniom żylakowego zapalenia skóry

Chociaż żylakowe zapalenie skóry nie może być całkowicie wyeliminowane, liczba i nasilenie zaostrzeń mogą być zmniejszone przez następujące środki105:

  • Regularne stosowanie kremów nawilżających, aby utrzymać skórę na nogach gładką i miękką106
  • Dbanie o zdrową wagę ciała107
  • Unikanie urazów nóg108
  • Noszenie pończoch kompresyjnych w ciągu dnia109
  • Regularne ćwiczenia, takie jak chodzenie110111
  • Unoszenie nóg podczas siedzenia lub leżenia112
  • Unikanie długotrwałego stania lub siedzenia113

Regularne monitorowanie medyczne pozwala na szybkie leczenie niewydolności żylnej i wdrożenie dostosowanych strategii zapobiegawczych114.

Rokowanie i powikłania

Żylakowe zapalenie skóry jest zazwyczaj stanem przewlekłym i długotrwałym115116. Stan może się pogarszać, a następnie stabilizować, ale dobra rutyna pielęgnacji skóry i podejmowanie kroków w celu wsparcia krążenia krwi w nogach mogą pomóc zapobiegać zaostrzeniom117.

Jeśli żylakowe zapalenie skóry nie jest odpowiednio leczone, może prowadzić do118119:

  • Suchej, zgrubiałej, łuszczącej się i pękającej skóry, która może ulec zakażeniu120
  • Lipodermatosklerozy (zapalenie tkanki tłuszczowej pod skórą, powodujące jej stwardnienie)121
  • Owrzodzeń żylnych, które są trudne do wyleczenia i często nawracają122123
  • Zapalenia tkanki łącznej (cellulitis)124
  • Kontaktowego zapalenia skóry125

Jeśli skóra jest popękana i sącząca się, może rozwinąć się zakażenie. Zakażenie może rozprzestrzeniać się w górę nogi i stać się zapaleniem tkanki łącznej lub może rozprzestrzeniać się do krwiobiegu, prowadząc do sepsy126.

Podsumowanie opieki pielęgniarskiej

Pielęgniarki odgrywają kluczową rolę w kompleksowej opiece nad pacjentami z żylakowym zapaleniem skóry127128. Ich działania obejmują:

  • Wczesne rozpoznanie i diagnozowanie żylakowego zapalenia skóry129
  • Edukację pacjentów na temat właściwej pielęgnacji skóry i stosowania emolientów130
  • Pomoc w zarządzaniu objawami, takimi jak świąd i ból131
  • Stosowanie bandaży kompresyjnych i pomoc w doborze odpowiednich pończoch kompresyjnych132
  • Monitorowanie stanu skóry i wczesne rozpoznawanie powikłań133
  • Wspieranie pacjentów w dokonywaniu zmian w stylu życia w celu poprawy krążenia134
  • Współpracę z innymi specjalistami, takimi jak lekarze naczyniowi i dermatolodzy135

Poprzez holistyczne podejście do opieki, pielęgniarki mogą znacząco przyczynić się do poprawy jakości życia pacjentów z żylakowym zapaleniem skóry i zapobiegania poważnym powikłaniom136.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1
    https://www.nhs.uk/conditions/varicose-eczema/
    Varicose eczema, also known as venous, gravitational or stasis eczema, is a long-term skin condition that affects the lower legs. It’s common in people with varicose veins. […] Varicose eczema tends to be a long-term problem. However, treatments are available to help keep it under control. […] If varicose eczema is not treated, leg ulcers can develop. These are wounds that form where the skin has become damaged. […] A GP will also ask you questions to determine whether you have a problem with the flow of blood in your leg veins, as this is the main cause of varicose eczema. […] Varicose eczema is usually caused by increased pressure in the leg veins. […] Varicose eczema is more common in people with varicose veins, as these are also often a sign that the leg veins are not working properly.
  • #2 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    Varicose eczema is a long-term skin condition that affects the lower legs and is common in people with varicose veins. […] Varicose eczema tends to be a long-term problem. However, treatments are available to help keep it under control. […] For most people, treatment involves a combination of: self-help measures including ways to improve your circulation, such as keeping active and frequently raising your legs; emollients moisturisers applied to the skin to stop it becoming dry; topical corticosteroids ointments and creams applied to the skin to help treat the eczema and relieve symptoms; compression stockings specially designed stockings, usually worn every day, that steadily squeeze your legs and help to improve your circulation. […] Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your circulation (blood flow).
  • #3 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/key-differences-between-varicose-eczema-vs-other-eczemas/
    Varicose eczema, also known as venous, gravitational, or stasis eczema, is a chronic, long-term skin condition that affects the lower legs. Its name derives from its common association with varicose veins, which occur when the small valves inside the veins stop working correctly. This condition is characterised by skin that becomes swollen, thickened, and itchy, and it may also change colour, usually dark brown or purple. Over time, the skin may become dry and flaky and can break down to form ulcers if not appropriately managed. […] Varicose eczema is more commonly seen in women, and its prevalence increases with age. It is estimated to affect up to 20% of people over 70. It is also significantly more common in people with a history of deep vein thrombosis (DVT) or varicose veins. […] Understanding the risk factors and causes of varicose eczema can help in its prevention and management and provide a basis for its differentiation from other forms of eczema.
  • #4 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Venous eczema is a common form of eczema/dermatitis that affects one or both lower legs in association with venous insufficiency. It is also called gravitational dermatitis. […] Venous eczema is most often seen in middle-aged and older patients it is reported to affect 20% of those over 70 years. […] Venous eczema appears to be due to fluid collecting in the tissues and activation of the innate immune response. […] Venous eczema can form discrete patches or become confluent and circumferential. […] The diagnosis of venous eczema is clinical. […] Don’t stand for long periods. […] Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively. […] During the acute phase of eczema, bandaging is important to reduce swelling. […] When eczema has settled, wear graduated compression socks or stockings long term.
  • #5 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/key-differences-between-varicose-eczema-vs-other-eczemas/
    Varicose eczema, also known as venous, gravitational, or stasis eczema, is a chronic, long-term skin condition that affects the lower legs. Its name derives from its common association with varicose veins, which occur when the small valves inside the veins stop working correctly. This condition is characterised by skin that becomes swollen, thickened, and itchy, and it may also change colour, usually dark brown or purple. Over time, the skin may become dry and flaky and can break down to form ulcers if not appropriately managed. […] Varicose eczema is more commonly seen in women, and its prevalence increases with age. It is estimated to affect up to 20% of people over 70. It is also significantly more common in people with a history of deep vein thrombosis (DVT) or varicose veins. […] Understanding the risk factors and causes of varicose eczema can help in its prevention and management and provide a basis for its differentiation from other forms of eczema.
  • #6 Varicose Eczema (Symptoms and Treatment) | Doctor
    https://patient.info/doctor/varicose-eczema-pro
    Varicose eczema is a common problem, particularly in the elderly. It is reported to affect 20% of those aged over 70. Around 10% of people with varicose veins go on to develop skin changes. The chronic nature of varicose eczema and the requirement for regular treatment mean that it can carry significant morbidity and have major socio-economic implications. […] […] General advice includes avoiding injury to the skin (e.g., against furniture), elevating the legs when sitting, and keeping physically active by encouraging regular walks. […] […] Basic skin care involves advising regular use of emollient, treating symptom flares with a topical steroid (usually of moderate strength), and trying to avoid potential skin sensitisers during management. […] […] Provided that there is no arterial insufficiency, below-knee compression stockings should be worn. Doppler testing may be required to ascertain arterial competence first. People are often reluctant to use them for a number of reasons which include discomfort, difficulty putting them on, and cosmetic appearance. […]
  • #7 Varicose eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/varicose-eczema/
    Varicose eczema, also known as gravitational eczema or stasis eczema, is a common skin condition that affects the lower legs of adults. If left untreated, the skin can break down to form ulcers. Here, we explain what causes varicose eczema and how it can be treated in the early stages to help prevent ulcers from developing. […] Varicose eczema is quite common, affecting approximately 70 per cent of people over the age of 70. Varicose eczema can occur in younger people, too, if they have a genetic predisposition to varicose veins. […] Varicose eczema manifests as itchy, dry, flaky areas of skin. The skin may also change colour and become weepy and crusty. When the eczema settles, the skin may crack if it becomes over-dry, or break down if scratched or picked. […] There are a number of steps you can take to reduce the risk of developing varicose eczema. One key step is to improve the blood circulation in the legs; for example, by walking more, if possible, and elevating the legs when seated.
  • #8
    https://www.nhs.uk/conditions/varicose-eczema/
    Varicose eczema, also known as venous, gravitational or stasis eczema, is a long-term skin condition that affects the lower legs. It’s common in people with varicose veins. […] Varicose eczema tends to be a long-term problem. However, treatments are available to help keep it under control. […] If varicose eczema is not treated, leg ulcers can develop. These are wounds that form where the skin has become damaged. […] A GP will also ask you questions to determine whether you have a problem with the flow of blood in your leg veins, as this is the main cause of varicose eczema. […] Varicose eczema is usually caused by increased pressure in the leg veins. […] Varicose eczema is more common in people with varicose veins, as these are also often a sign that the leg veins are not working properly.
  • #9 British Journal of Community Nursing – Venous eczema: more than just a rash
    https://www.britishjournalofcommunitynursing.com/content/professional/venous-eczema-more-than-just-a-rash/
    Venous eczema also known as varicose, gravitational or stasis eczema is a common form of eczema. In fact, 37-44% of patients with leg ulcers can present with a venous eczema. It is highly unpleasant, and can disrupt an individual’s personal and social life. […] In this article, Drew Payne provides a community nurse’s perspective on what venous eczema is, how to manage it in patients, and how to prevent further reoccurrences. […] About 37-44% of people with leg ulcers also have venous eczema (Patel et al, 2001), and like most other eczemas, it is unpleasant. It is also known as varicose, gravitational or stasis eczema (NHS England, 2023), but for this article it will be referred to as venous eczema.
  • #10
    https://www.nhs.uk/conditions/varicose-eczema/
    Varicose eczema, also known as venous, gravitational or stasis eczema, is a long-term skin condition that affects the lower legs. It’s common in people with varicose veins. […] Varicose eczema tends to be a long-term problem. However, treatments are available to help keep it under control. […] If varicose eczema is not treated, leg ulcers can develop. These are wounds that form where the skin has become damaged. […] A GP will also ask you questions to determine whether you have a problem with the flow of blood in your leg veins, as this is the main cause of varicose eczema. […] Varicose eczema is usually caused by increased pressure in the leg veins. […] Varicose eczema is more common in people with varicose veins, as these are also often a sign that the leg veins are not working properly.
  • #11 Venous Eczema – Causes, Treatments and Prevention – Auckland NZ – Palm Clinic
    https://palmclinic.co.nz/vein-care-concerns/venous-eczema/
    Venous eczema (or varicose eczema) is a skin condition that usually appears as itchy dry skin on the lower leg. […] It is often associated with varicose veins, and wont go away until the underlying condition is dealt with, such as the removal of affected veins. […] Venous eczema occurs as a result of venous insufficiency. […] This causes blood to collect in the blood vessels so they become enlarged (varicose). […] It also means that toxins and metabolites in the blood are not cleared properly, which can cause irritation and inflammation on the skin above the varicose vein, leading to venous eczema. […] Venous eczema is more common in old people, in those who are overweight, and in those who have had multiple pregnancies. […] Alongside skin irritation, symptoms may include heavy, aching or swollen legs.
  • #12 Varicose eczema or stasis dermatitis: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/182793
    Venous stasis dermatitis, or varicose eczema, involves swollen and itchy discolored skin on the lower legs. It usually occurs when venous insufficiency leads to varicose veins. It can lead to ulcerations or open sores. […] Varicose veins occur when veins of the legs become twisted, swollen, and more visible. They develop due to a weakening of the valves and walls of the veins. This weakening causes blood to collect in the vessels, which can result in varicose veins and swelling that develops into stasis dermatitis. […] Over time, if a person does not receive treatment, venous insufficiency can result in varicose veins and swelling that develop into venous stasis dermatitis. In this condition, the skin becomes irritated and starts to break down due to the fluid that collects under the skin.
  • #13 Varicose Eczema and Stasis Dermatitis: Symptoms and Causes
    https://www.centerforvein.com/blog/varicose-eczema-and-stasis-dermatitis-symptoms-and-causes
    Essentially the same condition, varicose eczema, and stasis dermatitis are different names used to describe the same skin disorder. […] Venous stasis dermatitis, also referred to as varicose eczema, is a kind of skin disorder that can occur in people who also have varicose veins. […] Stasis dermatitis can happen when blood is prevented from moving efficiently through your body. This allows water and blood cells to build up, resulting in blood leaking out of the veins and into the skin. It causes inflammation, ulcers, and itchiness on the skin of the lower legs. […] If left untreated, severe venous eczema can lead to ulcers, which are much more difficult to treat and heal. Severe stasis dermatitis can result in permanent changes to your skin, including thickening, hardening, darkening, or a bumpy, cobblestone-like appearance.
  • #14 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Venous eczema is a common form of eczema/dermatitis that affects one or both lower legs in association with venous insufficiency. It is also called gravitational dermatitis. […] Venous eczema is most often seen in middle-aged and older patients it is reported to affect 20% of those over 70 years. […] Venous eczema appears to be due to fluid collecting in the tissues and activation of the innate immune response. […] Venous eczema can form discrete patches or become confluent and circumferential. […] The diagnosis of venous eczema is clinical. […] Don’t stand for long periods. […] Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively. […] During the acute phase of eczema, bandaging is important to reduce swelling. […] When eczema has settled, wear graduated compression socks or stockings long term.
  • #15 Stasis dermatitis – UpToDate
    https://www.uptodate.com/contents/stasis-dermatitis
    Stasis dermatitis, or stasis eczema, is a common, inflammatory dermatosis of the lower extremities occurring in patients with chronic venous insufficiency, often in association with varicose veins, dependent chronic edema, hyperpigmentation, lipodermatosclerosis, and ulcerations. […] The management of lower extremity venous ulcers is also discussed separately. […] General measures include lifestyle modifications and skin care. […] Compression therapy is also a part of the management. […] Acute disease management may involve topical corticosteroids, other topical anti-inflammatory agents, and wet dressings. […] For recalcitrant disease, it is important to assess and treat allergic contact dermatitis and secondary infection.
  • #16 Varicose eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/varicose-eczema/
    Varicose eczema, also known as gravitational eczema or stasis eczema, is a common skin condition that affects the lower legs of adults. If left untreated, the skin can break down to form ulcers. Here, we explain what causes varicose eczema and how it can be treated in the early stages to help prevent ulcers from developing. […] Varicose eczema is quite common, affecting approximately 70 per cent of people over the age of 70. Varicose eczema can occur in younger people, too, if they have a genetic predisposition to varicose veins. […] Varicose eczema manifests as itchy, dry, flaky areas of skin. The skin may also change colour and become weepy and crusty. When the eczema settles, the skin may crack if it becomes over-dry, or break down if scratched or picked. […] There are a number of steps you can take to reduce the risk of developing varicose eczema. One key step is to improve the blood circulation in the legs; for example, by walking more, if possible, and elevating the legs when seated.
  • #17 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/key-differences-between-varicose-eczema-vs-other-eczemas/
    Varicose eczema presents a unique set of symptoms that evolve over time. The skin changes occur predominantly in the lower legs and can include: Skin Discolouration: Early signs of varicose eczema often include a change in the skin colour, usually dark brown or purple. This is due to the leakage of small amounts of blood from the veins into the skin. Itching: The affected area may become intensely itchy, leading to discomfort and, in some cases, sleep disturbance. Swelling: The skin may become swollen, particularly after long periods of standing or sitting. Dry, Flaky Skin: The skin often becomes dry and flaky and may feel tight. Thickened Skin: Over time, the skin may become thickened and hard, a condition known as lipodermatosclerosis. Pain or Tenderness: Some people experience pain or tenderness in the affected area. Eczema: Red, scaly, itchy rash indicative of eczema may appear over areas of discolouration. Venous Eczema: In advanced cases, the skin may break down to form ulcers, particularly near the ankles. These venous leg ulcers can be challenging to heal and require medical attention.
  • #18 Varicose eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/varicose-eczema/
    Varicose eczema, also known as gravitational eczema or stasis eczema, is a common skin condition that affects the lower legs of adults. If left untreated, the skin can break down to form ulcers. Here, we explain what causes varicose eczema and how it can be treated in the early stages to help prevent ulcers from developing. […] Varicose eczema is quite common, affecting approximately 70 per cent of people over the age of 70. Varicose eczema can occur in younger people, too, if they have a genetic predisposition to varicose veins. […] Varicose eczema manifests as itchy, dry, flaky areas of skin. The skin may also change colour and become weepy and crusty. When the eczema settles, the skin may crack if it becomes over-dry, or break down if scratched or picked. […] There are a number of steps you can take to reduce the risk of developing varicose eczema. One key step is to improve the blood circulation in the legs; for example, by walking more, if possible, and elevating the legs when seated.
  • #19 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/key-differences-between-varicose-eczema-vs-other-eczemas/
    Varicose eczema presents a unique set of symptoms that evolve over time. The skin changes occur predominantly in the lower legs and can include: Skin Discolouration: Early signs of varicose eczema often include a change in the skin colour, usually dark brown or purple. This is due to the leakage of small amounts of blood from the veins into the skin. Itching: The affected area may become intensely itchy, leading to discomfort and, in some cases, sleep disturbance. Swelling: The skin may become swollen, particularly after long periods of standing or sitting. Dry, Flaky Skin: The skin often becomes dry and flaky and may feel tight. Thickened Skin: Over time, the skin may become thickened and hard, a condition known as lipodermatosclerosis. Pain or Tenderness: Some people experience pain or tenderness in the affected area. Eczema: Red, scaly, itchy rash indicative of eczema may appear over areas of discolouration. Venous Eczema: In advanced cases, the skin may break down to form ulcers, particularly near the ankles. These venous leg ulcers can be challenging to heal and require medical attention.
  • #20 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/key-differences-between-varicose-eczema-vs-other-eczemas/
    Varicose eczema presents a unique set of symptoms that evolve over time. The skin changes occur predominantly in the lower legs and can include: Skin Discolouration: Early signs of varicose eczema often include a change in the skin colour, usually dark brown or purple. This is due to the leakage of small amounts of blood from the veins into the skin. Itching: The affected area may become intensely itchy, leading to discomfort and, in some cases, sleep disturbance. Swelling: The skin may become swollen, particularly after long periods of standing or sitting. Dry, Flaky Skin: The skin often becomes dry and flaky and may feel tight. Thickened Skin: Over time, the skin may become thickened and hard, a condition known as lipodermatosclerosis. Pain or Tenderness: Some people experience pain or tenderness in the affected area. Eczema: Red, scaly, itchy rash indicative of eczema may appear over areas of discolouration. Venous Eczema: In advanced cases, the skin may break down to form ulcers, particularly near the ankles. These venous leg ulcers can be challenging to heal and require medical attention.
  • #21 Varicose eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/varicose-eczema/
    Varicose eczema, also known as gravitational eczema or stasis eczema, is a common skin condition that affects the lower legs of adults. If left untreated, the skin can break down to form ulcers. Here, we explain what causes varicose eczema and how it can be treated in the early stages to help prevent ulcers from developing. […] Varicose eczema is quite common, affecting approximately 70 per cent of people over the age of 70. Varicose eczema can occur in younger people, too, if they have a genetic predisposition to varicose veins. […] Varicose eczema manifests as itchy, dry, flaky areas of skin. The skin may also change colour and become weepy and crusty. When the eczema settles, the skin may crack if it becomes over-dry, or break down if scratched or picked. […] There are a number of steps you can take to reduce the risk of developing varicose eczema. One key step is to improve the blood circulation in the legs; for example, by walking more, if possible, and elevating the legs when seated.
  • #22 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/key-differences-between-varicose-eczema-vs-other-eczemas/
    Varicose eczema presents a unique set of symptoms that evolve over time. The skin changes occur predominantly in the lower legs and can include: Skin Discolouration: Early signs of varicose eczema often include a change in the skin colour, usually dark brown or purple. This is due to the leakage of small amounts of blood from the veins into the skin. Itching: The affected area may become intensely itchy, leading to discomfort and, in some cases, sleep disturbance. Swelling: The skin may become swollen, particularly after long periods of standing or sitting. Dry, Flaky Skin: The skin often becomes dry and flaky and may feel tight. Thickened Skin: Over time, the skin may become thickened and hard, a condition known as lipodermatosclerosis. Pain or Tenderness: Some people experience pain or tenderness in the affected area. Eczema: Red, scaly, itchy rash indicative of eczema may appear over areas of discolouration. Venous Eczema: In advanced cases, the skin may break down to form ulcers, particularly near the ankles. These venous leg ulcers can be challenging to heal and require medical attention.
  • #23 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/key-differences-between-varicose-eczema-vs-other-eczemas/
    Varicose eczema presents a unique set of symptoms that evolve over time. The skin changes occur predominantly in the lower legs and can include: Skin Discolouration: Early signs of varicose eczema often include a change in the skin colour, usually dark brown or purple. This is due to the leakage of small amounts of blood from the veins into the skin. Itching: The affected area may become intensely itchy, leading to discomfort and, in some cases, sleep disturbance. Swelling: The skin may become swollen, particularly after long periods of standing or sitting. Dry, Flaky Skin: The skin often becomes dry and flaky and may feel tight. Thickened Skin: Over time, the skin may become thickened and hard, a condition known as lipodermatosclerosis. Pain or Tenderness: Some people experience pain or tenderness in the affected area. Eczema: Red, scaly, itchy rash indicative of eczema may appear over areas of discolouration. Venous Eczema: In advanced cases, the skin may break down to form ulcers, particularly near the ankles. These venous leg ulcers can be challenging to heal and require medical attention.
  • #24 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/key-differences-between-varicose-eczema-vs-other-eczemas/
    Varicose eczema presents a unique set of symptoms that evolve over time. The skin changes occur predominantly in the lower legs and can include: Skin Discolouration: Early signs of varicose eczema often include a change in the skin colour, usually dark brown or purple. This is due to the leakage of small amounts of blood from the veins into the skin. Itching: The affected area may become intensely itchy, leading to discomfort and, in some cases, sleep disturbance. Swelling: The skin may become swollen, particularly after long periods of standing or sitting. Dry, Flaky Skin: The skin often becomes dry and flaky and may feel tight. Thickened Skin: Over time, the skin may become thickened and hard, a condition known as lipodermatosclerosis. Pain or Tenderness: Some people experience pain or tenderness in the affected area. Eczema: Red, scaly, itchy rash indicative of eczema may appear over areas of discolouration. Venous Eczema: In advanced cases, the skin may break down to form ulcers, particularly near the ankles. These venous leg ulcers can be challenging to heal and require medical attention.
  • #25 What Is Varicose Eczema? – Vein Centers of Connecticut
    https://ctveindocs.com/blog/varicose-veins/varicose-eczema/
    This long-term skin condition starts at the ankle and, over time, moves up the calf and leg. Symptoms can fluctuate in severity and appearance. The warning signs include: Dry, itchy and flaky skin, Skin discoloration, Swelling, particularly at night, Scaly sores that can weep. […] If varicose eczema is left untreated, several other serious conditions that may develop: Lipodermatosclerosis: Inflammation of fat under the skin, causing it to harden. Leg Ulcers: Chronic sores that develop inside the leg due to bacteria in the tissue. Bacterial Infections: In the deep layers of the skin, may cause scabs and scarring. Cellulitis: Skin infection that can spread through the leg. […] If you display varicose vein symptoms, a dermatologist may refer you to a vein specialist. At the Vein Centers of Connecticut, we will perform an ultrasound and recommend the best treatment option for you. To help prevent vein disease and varicose eczema: Avoid prolonged standing, Exercise, Frequently elevate your legs, Keep your skin moisturized. […] You can also wear compression stockings. These elasticized garments gently squeeze the legs to help improve circulation and encourage blood flow to the heart.
  • #26 Eczema types: Stasis dermatitis overview
    https://www.aad.org/public/diseases/eczema/types/stasis-dermatitis
    This is a common type of eczema that develops in people who have poor blood flow. Because poor blood flow usually develops in the lower legs, stasis dermatitis often appears near your ankles. […] If you’ve been diagnosed with venous insufficiency, dermatologists recommend that you be under a doctor’s care for this condition. Treatment and healthy habits can prevent the condition from worsening. […] If you have venous insufficiency and notice changes to the overlying skin, it’s time to see a dermatologist. Proper treatment and lifestyle changes can prevent stasis dermatitis from worsening. […] As the disease worsens, the swelling (which early on tends to clear while you sleep) may not go away. The skin can become sensitive to touch. Applying a skin care product like your favorite lotion to the dry, itchy skin can burn and sting.
  • #27 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Venous eczema is a common form of eczema/dermatitis that affects one or both lower legs in association with venous insufficiency. It is also called gravitational dermatitis. […] Venous eczema is most often seen in middle-aged and older patients it is reported to affect 20% of those over 70 years. […] Venous eczema appears to be due to fluid collecting in the tissues and activation of the innate immune response. […] Venous eczema can form discrete patches or become confluent and circumferential. […] The diagnosis of venous eczema is clinical. […] Don’t stand for long periods. […] Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively. […] During the acute phase of eczema, bandaging is important to reduce swelling. […] When eczema has settled, wear graduated compression socks or stockings long term.
  • #28 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Older people often experience venous eczema, which can be safely diagnosed, treated and managed by nurses in the community. […] This article describes the pathophysiology of venous disease and outlines the principles of diagnosis and treatment of venous eczema. It stresses the role of nurses in diagnosing the condition, treating its symptoms and helping patients make lifestyle changes to improve their quality of life. […] Nurses are in a unique position to manage venous disease: they can diagnose and treat venous eczema and work with patients in order to maintain their health and wellbeing. […] Venous eczema is diagnosed on the basis of clinical features. When eczema is present, the skin is usually dry and can be red, cracked, inflamed, itchy and scaly. […] Careful observation and the CEAP classification are helpful in diagnosis. If venous eczema has been diagnosed, the priority is to assess and treat symptoms.
  • #29
    https://www.nhs.uk/conditions/varicose-eczema/
    Varicose eczema, also known as venous, gravitational or stasis eczema, is a long-term skin condition that affects the lower legs. It’s common in people with varicose veins. […] Varicose eczema tends to be a long-term problem. However, treatments are available to help keep it under control. […] If varicose eczema is not treated, leg ulcers can develop. These are wounds that form where the skin has become damaged. […] A GP will also ask you questions to determine whether you have a problem with the flow of blood in your leg veins, as this is the main cause of varicose eczema. […] Varicose eczema is usually caused by increased pressure in the leg veins. […] Varicose eczema is more common in people with varicose veins, as these are also often a sign that the leg veins are not working properly.
  • #30 Is Varicose Eczema Serious? | The VeinCare Centre
    https://www.theveincarecentre.co.uk/blog/is-varicose-eczema-serious/
    Referral to a vein specialist for a duplex ultrasound scan is essential in all cases of varicose eczema. Ultrasound will detect the exact vein abnormality and the results of the scan will form the basis of the plan for curative treatment. Varicose Eczema is a complication of leg vein problems. Varicose Eczema indicates that the skin is being damaged and that the area is at risk of ulcers. Moisturising creams are helpful and there are many self-help things you can do at home. Steroid creams provide temporary relief but if used frequently, the skin becomes more vulnerable to injury and ulceration.
  • #31 Varicose Eczema: Causes, Symptoms, and Treatment
    https://patient.info/heart-health/varicose-veins-leaflet/varicose-eczema-gravitational-eczema
    Compression stockings are also known as compression hosiery. The stockings work by applying pressure from outside the veins. This helps squeeze the blood in the veins back up the legs. […] These can be prescribed by your doctor and obtained at the chemist. People often do not like wearing these stockings because they are uncomfortable, or difficult to put on, or don’t look very nice. But they really help your circulation and can prevent serious problems such as ulcers. […] If your condition does not seem to be responding to treatment, your doctor may consider patch testing to check if you have developed contact dermatitis. […] You may need to be referred to a surgeon who specialises in arteries and veins (a vascular surgeon). You may require an operation if your varicose eczema will only get better if underlying varicose veins are treated.
  • #32 Stasis Dermatitis | Venous Eczema | Vein Clinic Perth
    https://www.veinclinicperth.com.au/symptom/venous-eczema/
    If your condition does not seem to be responding to topical treatment, your doctor may consider patch testing to check if you have developed contact dermatitis. This is usually done by a skin specialist (dermatologist). […] You may also need to be referred to a doctor who specialises in veins (a Phlebologist). A deeper assessment of your veins by a Phlebologist will help identify if your varicose eczema has underlying varicose veins or venous insufficiency that needs to be treated.
  • #33 Skin differentials – Leg cellulitis vs venous eczema – Pulse Today
    https://www.pulsetoday.co.uk/clinical-feature/clinical-areas/dermatology-and-wound-care/skin-differentials-leg-cellulitis-vs-venous-eczema/
    More common in but not exclusive to middle-aged or elderly women […] Often associated with varicose veins […] Erythematous scaly eruption with oedema, purpura and haemosiderin deposition […] Exudates sometimes occur and ulceration may arise […] May occur suddenly or insidiously […] Secondary patches of eczema may develop on the other leg even when it is not obviously affected by venous insufficiency […] Itchy […] No portal of entry […] Treatment is by compression bandaging or topical, moderately potent steroids and emollients.
  • #34 Skin differentials – Leg cellulitis vs venous eczema – Pulse Today
    https://www.pulsetoday.co.uk/clinical-feature/clinical-areas/dermatology-and-wound-care/skin-differentials-leg-cellulitis-vs-venous-eczema/
    More common in but not exclusive to middle-aged or elderly women […] Often associated with varicose veins […] Erythematous scaly eruption with oedema, purpura and haemosiderin deposition […] Exudates sometimes occur and ulceration may arise […] May occur suddenly or insidiously […] Secondary patches of eczema may develop on the other leg even when it is not obviously affected by venous insufficiency […] Itchy […] No portal of entry […] Treatment is by compression bandaging or topical, moderately potent steroids and emollients.
  • #35
    https://www.nhs.uk/conditions/varicose-eczema/treatment/
    Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your blood flow (circulation). […] The following steps may help reduce the symptoms of varicose eczema and help prevent further problems: try to avoid injuring your skin injuries to your skin could lead to an ulcer developing. […] If you have varicose eczema, you should use an emollient at least 2 times a day, even if you do not have any symptoms. […] It’s very important to keep using emollients during a flare-up of varicose eczema, because this is when the skin needs the most moisture. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #36 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    Varicose eczema is a long-term skin condition that affects the lower legs and is common in people with varicose veins. […] Varicose eczema tends to be a long-term problem. However, treatments are available to help keep it under control. […] For most people, treatment involves a combination of: self-help measures including ways to improve your circulation, such as keeping active and frequently raising your legs; emollients moisturisers applied to the skin to stop it becoming dry; topical corticosteroids ointments and creams applied to the skin to help treat the eczema and relieve symptoms; compression stockings specially designed stockings, usually worn every day, that steadily squeeze your legs and help to improve your circulation. […] Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your circulation (blood flow).
  • #37
    https://www.nhs.uk/conditions/varicose-eczema/treatment/
    Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your blood flow (circulation). […] The following steps may help reduce the symptoms of varicose eczema and help prevent further problems: try to avoid injuring your skin injuries to your skin could lead to an ulcer developing. […] If you have varicose eczema, you should use an emollient at least 2 times a day, even if you do not have any symptoms. […] It’s very important to keep using emollients during a flare-up of varicose eczema, because this is when the skin needs the most moisture. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #38 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    There are some steps you can take to reduce the symptoms of varicose eczema and help prevent further problems, such as: try to avoid injuring your skin; raise your legs when you are resting; keep physically active this will improve your circulation and help you maintain a healthy weight. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, your GP may prescribe a topical corticosteroid to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins. […] If you have varicose veins, as well as varicose eczema, treating these may sometimes be helpful.
  • #39
    https://www.nhs.uk/conditions/varicose-eczema/treatment/
    Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your blood flow (circulation). […] The following steps may help reduce the symptoms of varicose eczema and help prevent further problems: try to avoid injuring your skin injuries to your skin could lead to an ulcer developing. […] If you have varicose eczema, you should use an emollient at least 2 times a day, even if you do not have any symptoms. […] It’s very important to keep using emollients during a flare-up of varicose eczema, because this is when the skin needs the most moisture. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #40 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    There are some steps you can take to reduce the symptoms of varicose eczema and help prevent further problems, such as: try to avoid injuring your skin; raise your legs when you are resting; keep physically active this will improve your circulation and help you maintain a healthy weight. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, your GP may prescribe a topical corticosteroid to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins. […] If you have varicose veins, as well as varicose eczema, treating these may sometimes be helpful.
  • #41 Varicose Eczema: Causes, Symptoms, and Treatment
    https://patient.info/heart-health/varicose-veins-leaflet/varicose-eczema-gravitational-eczema
    Varicose eczema is a tightened skin condition that affects the lower legs, mainly occurring in the elderly. […] The treatment is to keep your legs up when you’re sitting down, to stay active and to apply moisturisers. Occasionally steroid ointments are used, which are prescribed by a doctor. […] The most important thing is to put your legs up as high as possible when sitting. Most pouffes or footstools just aren’t high enough: it’s best to have your feet as high as your hips, or even a bit higher! (When your legs are up, gravity helps the blood flow back up the legs.) […] Make sure the skin does not become too dry, by using regular moisturising creams (emollients). […] If the skin becomes very inflamed, your doctor may prescribe a topical steroid (steroid creams or ointments applied to the skin).
  • #42 Varicose Eczema : How to check if you have Varicose Eczema?
    https://medrechospital.com/atozdetail/varicose-eczema
    The following actions might lessen varicose eczema symptoms and guard against future issues: Raising your legs when you are resting, for instance by propping up your feet on some cushions (preferably so that they are above the level of your heart), might assist in minimizing swelling and help you prevent harming your skin, which could result in an ulcer forming.
  • #43 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    There are some steps you can take to reduce the symptoms of varicose eczema and help prevent further problems, such as: try to avoid injuring your skin; raise your legs when you are resting; keep physically active this will improve your circulation and help you maintain a healthy weight. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, your GP may prescribe a topical corticosteroid to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins. […] If you have varicose veins, as well as varicose eczema, treating these may sometimes be helpful.
  • #44 Varicose and Leg Eczema: Effective Treatments & Prevention Tips
    https://www.dexeryl.com/en/your-skin/atopic-dermatitis/eczema-body/eczema-leg-and-varicose
    Maintaining the health of the skin is crucial in the treatment of varicose eczema: Gentle cleansing followed by the regular application of emollient creams can soothe dry skin and prevent further complications. […] Preventing varicose eczema centers on the proactive management of modifiable risk factors. These include obesity, a sedentary lifestyle, extended periods in fixed positions, pre-existing contact eczema, and cardio-renal diseases. Implementing key daily practices and lifestyle adjustments plays a crucial role in prevention: Engage in regular walking and ensure that your legs are elevated while sitting or lying down to enhance blood circulation. […] Regular medical monitoring allows for the prompt treatment of any venous insufficiency and the implementation of tailored prevention strategies.
  • #45 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Venous eczema is a common form of eczema/dermatitis that affects one or both lower legs in association with venous insufficiency. It is also called gravitational dermatitis. […] Venous eczema is most often seen in middle-aged and older patients it is reported to affect 20% of those over 70 years. […] Venous eczema appears to be due to fluid collecting in the tissues and activation of the innate immune response. […] Venous eczema can form discrete patches or become confluent and circumferential. […] The diagnosis of venous eczema is clinical. […] Don’t stand for long periods. […] Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively. […] During the acute phase of eczema, bandaging is important to reduce swelling. […] When eczema has settled, wear graduated compression socks or stockings long term.
  • #46 Venous Stasis Dermatitis – Symptoms, Causes, Treatments
    https://www.webmd.com/skin-problems-and-treatments/eczema/venous-stasis-dermatitis
    A moisturizer can help with dry skin and keep the area soft. Choose one that has no fragrance, dyes, or perfumes so it doesn’t irritate your skin. Petroleum jelly and thick creams can be good options. […] A few changes to your daily habits can help you get your venous stasis dermatitis under control and keep it from getting worse. Take breaks. If your job keeps you sitting or standing for long periods, take time to move. Take a brisk walk for about 10 minutes each hour. Exercise. Moving makes blood flow better. Ask your doctor how often you should work out and what activities are safe for you. Wear comfortable clothes. Compression stockings are a good choice for your legs, but choose loose-fitting cotton clothes for the rest of your body. Tight or rough fabrics can irritate your skin and affect circulation. Take care of your skin. It could become easily irritated. When bathing, use only gentle cleansers and soft towels, followed quickly by a fragrance-free moisturizer. Avoid cleaning products, perfumes, grass, plants, pet hair, or anything else that bothers your skin. […] Treatment involves surgery or medications, along with lifestyle changes such as wearing compression stockings, elevating your legs, regular exercise, and proper skin care.
  • #47 Venous Stasis Dermatitis – Symptoms, Causes, Treatments
    https://www.webmd.com/skin-problems-and-treatments/eczema/venous-stasis-dermatitis
    A moisturizer can help with dry skin and keep the area soft. Choose one that has no fragrance, dyes, or perfumes so it doesn’t irritate your skin. Petroleum jelly and thick creams can be good options. […] A few changes to your daily habits can help you get your venous stasis dermatitis under control and keep it from getting worse. Take breaks. If your job keeps you sitting or standing for long periods, take time to move. Take a brisk walk for about 10 minutes each hour. Exercise. Moving makes blood flow better. Ask your doctor how often you should work out and what activities are safe for you. Wear comfortable clothes. Compression stockings are a good choice for your legs, but choose loose-fitting cotton clothes for the rest of your body. Tight or rough fabrics can irritate your skin and affect circulation. Take care of your skin. It could become easily irritated. When bathing, use only gentle cleansers and soft towels, followed quickly by a fragrance-free moisturizer. Avoid cleaning products, perfumes, grass, plants, pet hair, or anything else that bothers your skin. […] Treatment involves surgery or medications, along with lifestyle changes such as wearing compression stockings, elevating your legs, regular exercise, and proper skin care.
  • #48 Eczema types: Stasis dermatitis self-care
    https://www.aad.org/public/diseases/eczema/types/stasis-dermatitis/self-care
    If you have stasis dermatitis, a treatment plan along with self-care can get the disease under control and prevent it from worsening. Here are the healthy habits that dermatologists recommend for their patients who have stasis dermatitis. […] Wear loose-fitting cotton clothing. Wool and other rough fabrics, polyester, and rayon can irritate skin with stasis dermatitis and lead to a flare-up. A loose fit is also important. Tight waistbands and snug pants interfere with your circulation. If clothing rubs against stasis dermatitis, the fabric can irritate the sensitive skin. […] Use your compression garment if your dermatologist recommends one. Compression can: Improve the circulation in your legs, Prevent open sores, Reduce your risk of another flare. […] Avoid injuring the area and aggravating the stasis dermatitis. The skin with stasis dermatitis is very sensitive. If you injure or aggravate the area, it could lead to an infection or open sores.
  • #49 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    There are some steps you can take to reduce the symptoms of varicose eczema and help prevent further problems, such as: try to avoid injuring your skin; raise your legs when you are resting; keep physically active this will improve your circulation and help you maintain a healthy weight. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, your GP may prescribe a topical corticosteroid to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins. […] If you have varicose veins, as well as varicose eczema, treating these may sometimes be helpful.
  • #50
    https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(varicose)/
    Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. They’re tightest at the ankle and get gradually looser as they go further up your leg. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #51 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #52
    https://www.nhs.uk/conditions/varicose-eczema/treatment/
    Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your blood flow (circulation). […] The following steps may help reduce the symptoms of varicose eczema and help prevent further problems: try to avoid injuring your skin injuries to your skin could lead to an ulcer developing. […] If you have varicose eczema, you should use an emollient at least 2 times a day, even if you do not have any symptoms. […] It’s very important to keep using emollients during a flare-up of varicose eczema, because this is when the skin needs the most moisture. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #53
    https://www2.hse.ie/conditions/varicose-eczema/treatment/
    For most people, treatment for varicose eczema involves a combination of: self-help measures, emollients, topical corticosteroids, compression stockings. […] If you have varicose eczema, you should use an emollient at least twice a day, even if you do not have any symptoms. […] It’s important to keep using emollients during a flare-up of varicose eczema. This is when your skin needs it the most. […] If emollients do not help to control your varicose eczema, your GP may prescribe a topical corticosteroid. […] Medical compression stockings help improve your vein function. They’re used to treat varicose eczema by improving the flow of blood through your leg veins. This reduces the pressure in the veins.
  • #54
    https://www.nhs.uk/conditions/varicose-eczema/treatment/
    Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your blood flow (circulation). […] The following steps may help reduce the symptoms of varicose eczema and help prevent further problems: try to avoid injuring your skin injuries to your skin could lead to an ulcer developing. […] If you have varicose eczema, you should use an emollient at least 2 times a day, even if you do not have any symptoms. […] It’s very important to keep using emollients during a flare-up of varicose eczema, because this is when the skin needs the most moisture. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #55
    https://www2.hse.ie/conditions/varicose-eczema/treatment/
    For most people, treatment for varicose eczema involves a combination of: self-help measures, emollients, topical corticosteroids, compression stockings. […] If you have varicose eczema, you should use an emollient at least twice a day, even if you do not have any symptoms. […] It’s important to keep using emollients during a flare-up of varicose eczema. This is when your skin needs it the most. […] If emollients do not help to control your varicose eczema, your GP may prescribe a topical corticosteroid. […] Medical compression stockings help improve your vein function. They’re used to treat varicose eczema by improving the flow of blood through your leg veins. This reduces the pressure in the veins.
  • #56 Venous Stasis Dermatitis – Symptoms, Causes, Treatments
    https://www.webmd.com/skin-problems-and-treatments/eczema/venous-stasis-dermatitis
    A moisturizer can help with dry skin and keep the area soft. Choose one that has no fragrance, dyes, or perfumes so it doesn’t irritate your skin. Petroleum jelly and thick creams can be good options. […] A few changes to your daily habits can help you get your venous stasis dermatitis under control and keep it from getting worse. Take breaks. If your job keeps you sitting or standing for long periods, take time to move. Take a brisk walk for about 10 minutes each hour. Exercise. Moving makes blood flow better. Ask your doctor how often you should work out and what activities are safe for you. Wear comfortable clothes. Compression stockings are a good choice for your legs, but choose loose-fitting cotton clothes for the rest of your body. Tight or rough fabrics can irritate your skin and affect circulation. Take care of your skin. It could become easily irritated. When bathing, use only gentle cleansers and soft towels, followed quickly by a fragrance-free moisturizer. Avoid cleaning products, perfumes, grass, plants, pet hair, or anything else that bothers your skin. […] Treatment involves surgery or medications, along with lifestyle changes such as wearing compression stockings, elevating your legs, regular exercise, and proper skin care.
  • #57 Venous Stasis Dermatitis – Symptoms, Causes, Treatments
    https://www.webmd.com/skin-problems-and-treatments/eczema/venous-stasis-dermatitis
    A moisturizer can help with dry skin and keep the area soft. Choose one that has no fragrance, dyes, or perfumes so it doesn’t irritate your skin. Petroleum jelly and thick creams can be good options. […] A few changes to your daily habits can help you get your venous stasis dermatitis under control and keep it from getting worse. Take breaks. If your job keeps you sitting or standing for long periods, take time to move. Take a brisk walk for about 10 minutes each hour. Exercise. Moving makes blood flow better. Ask your doctor how often you should work out and what activities are safe for you. Wear comfortable clothes. Compression stockings are a good choice for your legs, but choose loose-fitting cotton clothes for the rest of your body. Tight or rough fabrics can irritate your skin and affect circulation. Take care of your skin. It could become easily irritated. When bathing, use only gentle cleansers and soft towels, followed quickly by a fragrance-free moisturizer. Avoid cleaning products, perfumes, grass, plants, pet hair, or anything else that bothers your skin. […] Treatment involves surgery or medications, along with lifestyle changes such as wearing compression stockings, elevating your legs, regular exercise, and proper skin care.
  • #58 Varicose eczema or stasis dermatitis: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/182793
    The treatment will focus on relieving the symptoms. The options may include: Compression stockings or dressings: These can help reduce swelling and boost circulation. Raising the legs: The American Academy of Dermatology Association (AAD) recommends that people elevate their legs above the heart level for 15 minutes every 2 hours during waking hours. In some cases, it may also be necessary to raise the legs during sleep. Medications: These may include corticosteroids, which a doctor may prescribe to reduce inflammation in the legs. Another option is an antihistamine, which can reduce itching. Ulcers or weeping: People with these symptoms may need special dressings that require replacing regularly. Antibiotics: These will be necessary in the case of cellulitis, ulcers, and other types of infection. A large ulcer may need a skin graft. Moisturizers and emollients: These can help reduce dry skin. The AAD recommends using petroleum jelly or a thick cream that the manufacturers have clearly marked as fragrance-free. Surgery: A surgical procedure can remove varicose veins that lead to pain, discomfort, and sores. Cleansers and moisturizers: People should use gentle, fragrance-free products to clean and hydrate the affected area while avoiding topical antibiotics, which can cause contact dermatitis and worsen the symptoms.
  • #59
    https://www.rclinic.com.au/condition/venous-eczema-treatment/
    Apply a prescription topical steroid cream to control dermatitis. Coal tar ointment may also help […] Use a moisturising cream frequently to keep the skin on the leg smooth and soft. If the skin is very scaly, urea cream may be effective. […] Seek the opinion of a vein specialist regarding varicose veins.
  • #60
    https://www.nhs.uk/conditions/varicose-eczema/treatment/
    Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your blood flow (circulation). […] The following steps may help reduce the symptoms of varicose eczema and help prevent further problems: try to avoid injuring your skin injuries to your skin could lead to an ulcer developing. […] If you have varicose eczema, you should use an emollient at least 2 times a day, even if you do not have any symptoms. […] It’s very important to keep using emollients during a flare-up of varicose eczema, because this is when the skin needs the most moisture. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #61 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    There are some steps you can take to reduce the symptoms of varicose eczema and help prevent further problems, such as: try to avoid injuring your skin; raise your legs when you are resting; keep physically active this will improve your circulation and help you maintain a healthy weight. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, your GP may prescribe a topical corticosteroid to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins. […] If you have varicose veins, as well as varicose eczema, treating these may sometimes be helpful.
  • #62 Stasis Dermatitis: An Overview of Its Clinical Presentation, Pathogenesis, and Management
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9968263/
    Although no drugs are currently approved for the treatment of SD symptoms, several topical options are used to relieve the symptoms associated with SD. […] High- or mid-potency topical corticosteroids can also be used intermittently to relieve pruritus, although prolonged use may lead to cutaneous atrophy and systemic side effects. […] Interventional options that aim to treat the underlying venous reflux are also available. Classic open surgical techniques have been replaced with minimally invasive procedures, such as ultrasound-guided foam sclerotherapy, endovenous thermal ablation, and ambulatory phlebectomy. […] Given the central role in the pathogenesis of SD, inflammation represents a logical focus for the development of new therapeutic options.
  • #63 Stasis Dermatitis: An Overview of Its Clinical Presentation, Pathogenesis, and Management
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9968263/
    Although no drugs are currently approved for the treatment of SD symptoms, several topical options are used to relieve the symptoms associated with SD. […] High- or mid-potency topical corticosteroids can also be used intermittently to relieve pruritus, although prolonged use may lead to cutaneous atrophy and systemic side effects. […] Interventional options that aim to treat the underlying venous reflux are also available. Classic open surgical techniques have been replaced with minimally invasive procedures, such as ultrasound-guided foam sclerotherapy, endovenous thermal ablation, and ambulatory phlebectomy. […] Given the central role in the pathogenesis of SD, inflammation represents a logical focus for the development of new therapeutic options.
  • #64 Venous eczema – BAD Patient Hub
    https://www.skinhealthinfo.org.uk/condition/venous-eczema/
    Topical emollients (moisturisers) should be used at least daily to all the skin on the lower leg, whether affected or not; these make the skin more supple and can help to prevent the skin breaking down. […] Steroid ointments are often recommended to treat itchy flares in venous eczema; these should be applied to the affected patches of skin only. […] In general, the responses to the above measures are good if they are used every day on a long-term basis.
  • #65 Gravitational eczema, varicose eczema
    https://www.pcds.org.uk/clinical-guidance/eczema-gravitational-eczema-syn-varicose-eczema-or-stasis-dermatitis
    If topical steroids are needed on a regular basis, once the eczema has settled change to a topical calcineurin inhibitor such as Protopic 0.1% ointment (Tacrolimus 0.1%). […] For stubborn patches or those cases that are moderate-severe at onset, one of the most effective treatments is the use of a potent or super-potent topical steroid (eg Betnovate-C ointment) under medicated bandages eg ZIPZOC or Viscopaste. […] Aim to promote treatment of underlying venous conditions by the use of leg exercises and compression hosiery.
  • #66 Gravitational eczema, varicose eczema
    https://www.pcds.org.uk/clinical-guidance/eczema-gravitational-eczema-syn-varicose-eczema-or-stasis-dermatitis
    If topical steroids are needed on a regular basis, once the eczema has settled change to a topical calcineurin inhibitor such as Protopic 0.1% ointment (Tacrolimus 0.1%). […] For stubborn patches or those cases that are moderate-severe at onset, one of the most effective treatments is the use of a potent or super-potent topical steroid (eg Betnovate-C ointment) under medicated bandages eg ZIPZOC or Viscopaste. […] Aim to promote treatment of underlying venous conditions by the use of leg exercises and compression hosiery.
  • #67 Varicose Eczema | The VeinCare Centre
    https://www.theveincarecentre.co.uk/varicose-eczema/
    Medical stockings or socks help normalise the function of the leg veins and therefore wearing them will go a long way to improving the varicose eczema. […] Moisturising creams can help. Varicose eczema should not be treated with steroid creams except for very brief periods when itch and pain are very troublesome. Longer term use of steroid creams will help the relieve symptoms and the area will look and feel better, but the use of steroids will thin the skin over time making it more vulnerable to further damage.
  • #68 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    There are some steps you can take to reduce the symptoms of varicose eczema and help prevent further problems, such as: try to avoid injuring your skin; raise your legs when you are resting; keep physically active this will improve your circulation and help you maintain a healthy weight. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, your GP may prescribe a topical corticosteroid to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins. […] If you have varicose veins, as well as varicose eczema, treating these may sometimes be helpful.
  • #69
    https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(varicose)/
    Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. They’re tightest at the ankle and get gradually looser as they go further up your leg. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #70
    https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(varicose)/
    Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. They’re tightest at the ankle and get gradually looser as they go further up your leg. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #71
    https://www.nhs.uk/conditions/varicose-eczema/treatment/
    Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your blood flow (circulation). […] The following steps may help reduce the symptoms of varicose eczema and help prevent further problems: try to avoid injuring your skin injuries to your skin could lead to an ulcer developing. […] If you have varicose eczema, you should use an emollient at least 2 times a day, even if you do not have any symptoms. […] It’s very important to keep using emollients during a flare-up of varicose eczema, because this is when the skin needs the most moisture. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #72
    https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(varicose)/
    Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. […] If your skin is inflamed from a flare-up of varicose eczema, a GP may prescribe a topical corticosteroid (applied directly to your skin) to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. They’re tightest at the ankle and get gradually looser as they go further up your leg. […] Compression stockings are used to treat varicose eczema and lipodermatosclerosis by improving the flow of blood through your leg veins and reducing the pressure in the veins.
  • #73 Stasis dermatitis – Wikipedia
    https://en.wikipedia.org/wiki/Stasis_dermatitis
    Stasis dermatitis refers to the skin changes that occur in the leg as a result of „stasis” or blood pooling from insufficient venous return; the alternative name of varicose eczema comes from a common cause of this being varicose veins. […] Treatment may consist of topical applications of steroid based creams and the use of compression stockings or intermittent pneumatic compression pumps, to help force the underlying buildup of fluids back out of the lower leg. […] Compression therapy should consist of moderate pressures and works best for ambulating patients. […] Ultimately, treating the underlying venous reflux is necessary to treat Stasis dermatitis. Invasive surgical procedures like saphenofemoral junction ligation with stripping were the norm for treatment in the past. However, less invasive methods are now more widely used. These newer methods include endovenous thermal ablation, ambulatory phlebectomy, and ultrasound foam sclerotherapy. […] If stasis dermatitis goes untreated, the patient is at risk of developing venous ulcers and Acroangiodermatitis.
  • #74 Varicose Eczema (Symptoms and Treatment) | Doctor
    https://patient.info/doctor/varicose-eczema-pro
    Varicose eczema is a common problem, particularly in the elderly. It is reported to affect 20% of those aged over 70. Around 10% of people with varicose veins go on to develop skin changes. The chronic nature of varicose eczema and the requirement for regular treatment mean that it can carry significant morbidity and have major socio-economic implications. […] […] General advice includes avoiding injury to the skin (e.g., against furniture), elevating the legs when sitting, and keeping physically active by encouraging regular walks. […] […] Basic skin care involves advising regular use of emollient, treating symptom flares with a topical steroid (usually of moderate strength), and trying to avoid potential skin sensitisers during management. […] […] Provided that there is no arterial insufficiency, below-knee compression stockings should be worn. Doppler testing may be required to ascertain arterial competence first. People are often reluctant to use them for a number of reasons which include discomfort, difficulty putting them on, and cosmetic appearance. […]
  • #75 Varicose Eczema: Causes, Symptoms, and Treatment
    https://patient.info/heart-health/varicose-veins-leaflet/varicose-eczema-gravitational-eczema
    Compression stockings are also known as compression hosiery. The stockings work by applying pressure from outside the veins. This helps squeeze the blood in the veins back up the legs. […] These can be prescribed by your doctor and obtained at the chemist. People often do not like wearing these stockings because they are uncomfortable, or difficult to put on, or don’t look very nice. But they really help your circulation and can prevent serious problems such as ulcers. […] If your condition does not seem to be responding to treatment, your doctor may consider patch testing to check if you have developed contact dermatitis. […] You may need to be referred to a surgeon who specialises in arteries and veins (a vascular surgeon). You may require an operation if your varicose eczema will only get better if underlying varicose veins are treated.
  • #76 Varicose Eczema (Symptoms and Treatment) | Doctor
    https://patient.info/doctor/varicose-eczema-pro
    Varicose eczema is a common problem, particularly in the elderly. It is reported to affect 20% of those aged over 70. Around 10% of people with varicose veins go on to develop skin changes. The chronic nature of varicose eczema and the requirement for regular treatment mean that it can carry significant morbidity and have major socio-economic implications. […] […] General advice includes avoiding injury to the skin (e.g., against furniture), elevating the legs when sitting, and keeping physically active by encouraging regular walks. […] […] Basic skin care involves advising regular use of emollient, treating symptom flares with a topical steroid (usually of moderate strength), and trying to avoid potential skin sensitisers during management. […] […] Provided that there is no arterial insufficiency, below-knee compression stockings should be worn. Doppler testing may be required to ascertain arterial competence first. People are often reluctant to use them for a number of reasons which include discomfort, difficulty putting them on, and cosmetic appearance. […]
  • #77 Varicose Eczema (Symptoms and Treatment) | Doctor
    https://patient.info/doctor/varicose-eczema-pro
    If there is poor response to the above management, consider contact dermatitis, flares of lipodermatosclerosis requiring very potent topical steroids, or secondary infection needing treatment with topical or usually oral antibiotics. […] […] This condition is likely to require involvement of different disciplines. Do not be reluctant to use the expertise of other members of the primary healthcare team. […] […] When there are no local policies, consider referral when varicose veins present with progressive skin changes or a history of ulceration, there is significant peripheral arterial disease, there is inadequate control of skin disease with primary care management, or there is suspected contact dermatitis. […] […] This is a chronic condition and takes a long time to heal. Topical steroids should clear the eczema but the secondary pigmentary changes will persist. Poor adherence to strategies such as support hosiery or bandages may make prognosis worse than it should be. If ulceration occurs, it will be a slower resolution. If there is arterial insufficiency, healing is poor. Complications include cellulitis, ulceration, and contact dermatitis. […] […] There may be scope for prevention of skin disease and other complications with better management of varicose veins, better management of venous insufficiency, prevention of DVT, and better DVT detection and management.
  • #78 Gravitational eczema, varicose eczema
    https://www.pcds.org.uk/clinical-guidance/eczema-gravitational-eczema-syn-varicose-eczema-or-stasis-dermatitis
    Gravitational eczema is a common form of eczema that occurs on the lower extremities in patients with chronic venous insufficiency. It may be a precursor to more problematic conditions, such as venous leg ulceration and lipodermatosclerosis. […] Use copious emollients (as in atopic eczema) – prescribe no less than 500 g, and use at least twice a day. If the skin is very dry use an ointment. […] If the skin appears infected (asymmetrical erythema and tenderness, usually with pyrexia) treat empirically with an appropriate antibiotic eg flucloxacillin (with or without Penicillin V) or clarithromycin / erythromycin if penicillin allergy, for 10-14 days. […] Topical steroids may be needed for itch – use the least potent preparation that controls the symptoms, with steroid free periods in order to reduce the risk of skin atrophy.
  • #79 What’s to know about varicose eczema?
    https://www.texanvv.com/post/what-s-to-know-about-varicose-eczema
    Stasis dermatitis or varicose eczema, is a kind of eczema, a skin disorder that can occur in people who have varicose veins. It happens because of poor circulation. It usually affects the lower legs, and sores may develop. […] Treatment will focus on relieving the symptoms. […] Compression stockings or dressings can help to reduce swelling and boost circulation. The patient should also keep their legs raised above the level of the heart. […] Raising the legs can help. The American Academy of Dermatology (AAD) advises patients to elevate the legs for 15 minutes every 2 hours, and to prop them up on a pillow while sleeping. […] Medications such as a corticosteroid or a topic calcineurin inhibitor (TCI) may be prescribed to reduce inflammation, including redness, swelling, and pain. […] Ulcers or weeping lesions may need special dressings. At first, the dressing must be changed every 2 to 3 days, but in time, once or twice a week will be enough.
  • #80 Journal of Community Nursing
    https://www.journalofpracticenursing.co.uk/uploads/files/reader/sct/sct-04-2015/files/assets/basic-html/page56.html
    Patients living with venous eczema require such support and guidance to enhance self-efficacy skills and quality of life. Acute, wet, weeping inflamed varicose eczema requires the lower leg to be soaked for 20 minutes in a solution of potassium permanganate 1:10,000 solution. Treatment regimen should include: Daily soaks can be continued until dried exudate, crusts and serous fluid are no longer evident. Cleansing of the skin and moisturisation can be achieved using an oil-in-water-based cream or lotion. Moisturising the skin can continue at least twice-daily. Thereafter, progress to a greasier-based emollient as the skin becomes more dry and scaly. Any residual inflamed skin can be treated with a mild-to-moderate topical corticosteroid. Due to the vulnerability of the skin in venous eczema, topical corticosteroids should be used intermittently, only when inflammatory lesions are present. Sub-acute and chronic venous eczema, including lipodermatosclerosis, respond well to daily intensive emollient therapy. Emollient soaks, moisturisation and intermittent mild-to-moderately potent topical corticosteroids (only on inflammatory lesions) effectively soothe itch and protect the skin. Medicated paste bandages have a place in the management of chronic venous eczema where occlusion is indicated and can be used under compression hosiery, if venous insufficiency exists. Emollient wet wrap technique is also useful in removing adherent scale of venous eczema without damaging the skin. Managing complications of venous eczema Itch and pain are the most commonly reported symptoms of venous eczema. Management of itch is as important as management of pain and eczema. Emollients can effectively reduce itch, so their importance should not be underestimated.
  • #81 Varicose eczema or stasis dermatitis: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/182793
    The treatment will focus on relieving the symptoms. The options may include: Compression stockings or dressings: These can help reduce swelling and boost circulation. Raising the legs: The American Academy of Dermatology Association (AAD) recommends that people elevate their legs above the heart level for 15 minutes every 2 hours during waking hours. In some cases, it may also be necessary to raise the legs during sleep. Medications: These may include corticosteroids, which a doctor may prescribe to reduce inflammation in the legs. Another option is an antihistamine, which can reduce itching. Ulcers or weeping: People with these symptoms may need special dressings that require replacing regularly. Antibiotics: These will be necessary in the case of cellulitis, ulcers, and other types of infection. A large ulcer may need a skin graft. Moisturizers and emollients: These can help reduce dry skin. The AAD recommends using petroleum jelly or a thick cream that the manufacturers have clearly marked as fragrance-free. Surgery: A surgical procedure can remove varicose veins that lead to pain, discomfort, and sores. Cleansers and moisturizers: People should use gentle, fragrance-free products to clean and hydrate the affected area while avoiding topical antibiotics, which can cause contact dermatitis and worsen the symptoms.
  • #82 What’s to know about varicose eczema?
    https://www.texanvv.com/post/what-s-to-know-about-varicose-eczema
    Antibiotics will be necessary in the case of cellulitis, erosions and ulcers, and other types of infection. A large ulcer may need a skin graft. […] Antihistamine medication can reduce itching. […] Moisturizers and emollients can help reduce dry skin. The ADD recommend using petroleum jelly or a thick cream that is clearly marked fragrance free. A physician, dermatologist, or pharmacist can advise about options. […] Surgery can remove varicose veins that lead to pain, discomfort, and sores. If the skin becomes discolored, a dermatologist may offer advice about how to reduce this. […] Management of the condition involves: Using compression stockings, Keeping the legs raised when possible, Using medication for skin care and when symptoms flare up. […] Taking care of the legs can help prevent stasis dermatitis. Measures include: Not standing or sitting for prolonged periods, Using emollients or moisturizers to keep the skin supple, Avoiding bath products and soaps that dry the skin.
  • #83
    https://www.nhs.uk/conditions/varicose-eczema/
    For most people, treatment involves a combination of: self-help measures including ways to improve your circulation, such as keeping active and frequently raising your legs; emollients moisturisers applied to the skin to stop it from becoming dry; topical corticosteroids ointments or creams applied to the skin to help treat the eczema and relieve symptoms; compression stockings specially designed stockings, usually worn every day, that squeeze your legs tightly at the foot and ankle and become looser further up your leg, helping to improve your circulation. […] If you have varicose veins, you may be referred to a doctor or surgeon specialising in conditions affecting the blood vessels (vascular specialist) who can talk to you about the treatment options for varicose veins.
  • #84
    https://www2.hse.ie/conditions/varicose-eczema/
    Varicose eczema is also known as venous, gravitational or stasis eczema. It is a long-term skin condition that affects the legs. It’s common in people with varicose veins. Treatments are available to help keep it under control. […] For most people, treatment involves a combination of: self-help measures keeping active and frequently raising your legs to improve the blood flow in the veins, emollients moisturisers applied to the skin to stop it from becoming dry, topical corticosteroids ointments or creams used sparingly are applied to the skin to help treat the eczema and relieve symptoms, compression stockings special stockings to help improve your venous blood flow. They squeeze your legs at the foot and ankle and become looser further up your leg. […] If you have varicose veins, you may be referred to a doctor or surgeon (vascular specialist). They can talk to you about the treatment options for varicose veins. […] If these treatments do not help, a GP may refer you to a skin specialist (dermatologist). This is in case there’s another cause for your symptoms, or if they’re concerned you may also have contact dermatitis.
  • #85
    https://www.nhs.uk/conditions/varicose-eczema/
    For most people, treatment involves a combination of: self-help measures including ways to improve your circulation, such as keeping active and frequently raising your legs; emollients moisturisers applied to the skin to stop it from becoming dry; topical corticosteroids ointments or creams applied to the skin to help treat the eczema and relieve symptoms; compression stockings specially designed stockings, usually worn every day, that squeeze your legs tightly at the foot and ankle and become looser further up your leg, helping to improve your circulation. […] If you have varicose veins, you may be referred to a doctor or surgeon specialising in conditions affecting the blood vessels (vascular specialist) who can talk to you about the treatment options for varicose veins.
  • #86 Stasis dermatitis – Wikipedia
    https://en.wikipedia.org/wiki/Stasis_dermatitis
    Stasis dermatitis refers to the skin changes that occur in the leg as a result of „stasis” or blood pooling from insufficient venous return; the alternative name of varicose eczema comes from a common cause of this being varicose veins. […] Treatment may consist of topical applications of steroid based creams and the use of compression stockings or intermittent pneumatic compression pumps, to help force the underlying buildup of fluids back out of the lower leg. […] Compression therapy should consist of moderate pressures and works best for ambulating patients. […] Ultimately, treating the underlying venous reflux is necessary to treat Stasis dermatitis. Invasive surgical procedures like saphenofemoral junction ligation with stripping were the norm for treatment in the past. However, less invasive methods are now more widely used. These newer methods include endovenous thermal ablation, ambulatory phlebectomy, and ultrasound foam sclerotherapy. […] If stasis dermatitis goes untreated, the patient is at risk of developing venous ulcers and Acroangiodermatitis.
  • #87 Stasis dermatitis – Wikipedia
    https://en.wikipedia.org/wiki/Stasis_dermatitis
    Stasis dermatitis refers to the skin changes that occur in the leg as a result of „stasis” or blood pooling from insufficient venous return; the alternative name of varicose eczema comes from a common cause of this being varicose veins. […] Treatment may consist of topical applications of steroid based creams and the use of compression stockings or intermittent pneumatic compression pumps, to help force the underlying buildup of fluids back out of the lower leg. […] Compression therapy should consist of moderate pressures and works best for ambulating patients. […] Ultimately, treating the underlying venous reflux is necessary to treat Stasis dermatitis. Invasive surgical procedures like saphenofemoral junction ligation with stripping were the norm for treatment in the past. However, less invasive methods are now more widely used. These newer methods include endovenous thermal ablation, ambulatory phlebectomy, and ultrasound foam sclerotherapy. […] If stasis dermatitis goes untreated, the patient is at risk of developing venous ulcers and Acroangiodermatitis.
  • #88 Stasis dermatitis – Wikipedia
    https://en.wikipedia.org/wiki/Stasis_dermatitis
    Stasis dermatitis refers to the skin changes that occur in the leg as a result of „stasis” or blood pooling from insufficient venous return; the alternative name of varicose eczema comes from a common cause of this being varicose veins. […] Treatment may consist of topical applications of steroid based creams and the use of compression stockings or intermittent pneumatic compression pumps, to help force the underlying buildup of fluids back out of the lower leg. […] Compression therapy should consist of moderate pressures and works best for ambulating patients. […] Ultimately, treating the underlying venous reflux is necessary to treat Stasis dermatitis. Invasive surgical procedures like saphenofemoral junction ligation with stripping were the norm for treatment in the past. However, less invasive methods are now more widely used. These newer methods include endovenous thermal ablation, ambulatory phlebectomy, and ultrasound foam sclerotherapy. […] If stasis dermatitis goes untreated, the patient is at risk of developing venous ulcers and Acroangiodermatitis.
  • #89 Is Varicose Eczema Serious? | The VeinCare Centre
    https://www.theveincarecentre.co.uk/blog/is-varicose-eczema-serious/
    The majority of people with varicose eczema have a problem with the leg veins that can be cured by non-invasive procedures under local anaesthetic on a walk-in walk out basis — procedures such as laser, radiofrequency, foam sclerotherapy or superglue. […] Dermatologists or GPs with a lot of experience and knowledge of skin conditions can help with varicose eczema in 2 ways: To make a diagnosis. To help with the distressing symptoms of itch. […] Varicose eczema should be taken seriously. It is a warning sign that the skin is being damaged by inflammation and if neglected and not treated, varicose eczema will progress to a leg ulcer. […] Initially varicose eczema looks very minor – just a little rash that comes and goes. With time it will get worse and at some stage, it will not only be serious, but it becomes urgent.
  • #90 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Older people often experience venous eczema, which can be safely diagnosed, treated and managed by nurses in the community. […] This article describes the pathophysiology of venous disease and outlines the principles of diagnosis and treatment of venous eczema. It stresses the role of nurses in diagnosing the condition, treating its symptoms and helping patients make lifestyle changes to improve their quality of life. […] Nurses are in a unique position to manage venous disease: they can diagnose and treat venous eczema and work with patients in order to maintain their health and wellbeing. […] Venous eczema is diagnosed on the basis of clinical features. When eczema is present, the skin is usually dry and can be red, cracked, inflamed, itchy and scaly. […] Careful observation and the CEAP classification are helpful in diagnosis. If venous eczema has been diagnosed, the priority is to assess and treat symptoms.
  • #91 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Nurses can work with patients who have venous disease to improve their health and wellbeing by giving them advice on weight loss, adequate exercise and posture. […] The symptoms and complications of venous eczema have a negative effect on quality of life. Nurses are well placed to help patients by diagnosing venous eczema, assessing and treating symptoms, referring patients who need treatment for varicose veins, advising on lifestyle changes, and treating any other issues that reduce their quality of life.
  • #92 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Older people often experience venous eczema, which can be safely diagnosed, treated and managed by nurses in the community. […] This article describes the pathophysiology of venous disease and outlines the principles of diagnosis and treatment of venous eczema. It stresses the role of nurses in diagnosing the condition, treating its symptoms and helping patients make lifestyle changes to improve their quality of life. […] Nurses are in a unique position to manage venous disease: they can diagnose and treat venous eczema and work with patients in order to maintain their health and wellbeing. […] Venous eczema is diagnosed on the basis of clinical features. When eczema is present, the skin is usually dry and can be red, cracked, inflamed, itchy and scaly. […] Careful observation and the CEAP classification are helpful in diagnosis. If venous eczema has been diagnosed, the priority is to assess and treat symptoms.
  • #93 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Older people often experience venous eczema, which can be safely diagnosed, treated and managed by nurses in the community. […] This article describes the pathophysiology of venous disease and outlines the principles of diagnosis and treatment of venous eczema. It stresses the role of nurses in diagnosing the condition, treating its symptoms and helping patients make lifestyle changes to improve their quality of life. […] Nurses are in a unique position to manage venous disease: they can diagnose and treat venous eczema and work with patients in order to maintain their health and wellbeing. […] Venous eczema is diagnosed on the basis of clinical features. When eczema is present, the skin is usually dry and can be red, cracked, inflamed, itchy and scaly. […] Careful observation and the CEAP classification are helpful in diagnosis. If venous eczema has been diagnosed, the priority is to assess and treat symptoms.
  • #94 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Older people often experience venous eczema, which can be safely diagnosed, treated and managed by nurses in the community. […] This article describes the pathophysiology of venous disease and outlines the principles of diagnosis and treatment of venous eczema. It stresses the role of nurses in diagnosing the condition, treating its symptoms and helping patients make lifestyle changes to improve their quality of life. […] Nurses are in a unique position to manage venous disease: they can diagnose and treat venous eczema and work with patients in order to maintain their health and wellbeing. […] Venous eczema is diagnosed on the basis of clinical features. When eczema is present, the skin is usually dry and can be red, cracked, inflamed, itchy and scaly. […] Careful observation and the CEAP classification are helpful in diagnosis. If venous eczema has been diagnosed, the priority is to assess and treat symptoms.
  • #95 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #96 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #97 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #98 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #99 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #100 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Nurses can work with patients who have venous disease to improve their health and wellbeing by giving them advice on weight loss, adequate exercise and posture. […] The symptoms and complications of venous eczema have a negative effect on quality of life. Nurses are well placed to help patients by diagnosing venous eczema, assessing and treating symptoms, referring patients who need treatment for varicose veins, advising on lifestyle changes, and treating any other issues that reduce their quality of life.
  • #101 Journal of Community Nursing
    https://www.journalofpracticenursing.co.uk/uploads/files/reader/sct/sct-04-2015/files/assets/basic-html/page56.html
    Patients living with venous eczema require such support and guidance to enhance self-efficacy skills and quality of life. Acute, wet, weeping inflamed varicose eczema requires the lower leg to be soaked for 20 minutes in a solution of potassium permanganate 1:10,000 solution. Treatment regimen should include: Daily soaks can be continued until dried exudate, crusts and serous fluid are no longer evident. Cleansing of the skin and moisturisation can be achieved using an oil-in-water-based cream or lotion. Moisturising the skin can continue at least twice-daily. Thereafter, progress to a greasier-based emollient as the skin becomes more dry and scaly. Any residual inflamed skin can be treated with a mild-to-moderate topical corticosteroid. Due to the vulnerability of the skin in venous eczema, topical corticosteroids should be used intermittently, only when inflammatory lesions are present. Sub-acute and chronic venous eczema, including lipodermatosclerosis, respond well to daily intensive emollient therapy. Emollient soaks, moisturisation and intermittent mild-to-moderately potent topical corticosteroids (only on inflammatory lesions) effectively soothe itch and protect the skin. Medicated paste bandages have a place in the management of chronic venous eczema where occlusion is indicated and can be used under compression hosiery, if venous insufficiency exists. Emollient wet wrap technique is also useful in removing adherent scale of venous eczema without damaging the skin. Managing complications of venous eczema Itch and pain are the most commonly reported symptoms of venous eczema. Management of itch is as important as management of pain and eczema. Emollients can effectively reduce itch, so their importance should not be underestimated.
  • #102 Journal of Community Nursing
    https://www.journalofpracticenursing.co.uk/uploads/files/reader/sct/sct-04-2015/files/assets/basic-html/page56.html
    Patients living with venous eczema require such support and guidance to enhance self-efficacy skills and quality of life. Acute, wet, weeping inflamed varicose eczema requires the lower leg to be soaked for 20 minutes in a solution of potassium permanganate 1:10,000 solution. Treatment regimen should include: Daily soaks can be continued until dried exudate, crusts and serous fluid are no longer evident. Cleansing of the skin and moisturisation can be achieved using an oil-in-water-based cream or lotion. Moisturising the skin can continue at least twice-daily. Thereafter, progress to a greasier-based emollient as the skin becomes more dry and scaly. Any residual inflamed skin can be treated with a mild-to-moderate topical corticosteroid. Due to the vulnerability of the skin in venous eczema, topical corticosteroids should be used intermittently, only when inflammatory lesions are present. Sub-acute and chronic venous eczema, including lipodermatosclerosis, respond well to daily intensive emollient therapy. Emollient soaks, moisturisation and intermittent mild-to-moderately potent topical corticosteroids (only on inflammatory lesions) effectively soothe itch and protect the skin. Medicated paste bandages have a place in the management of chronic venous eczema where occlusion is indicated and can be used under compression hosiery, if venous insufficiency exists. Emollient wet wrap technique is also useful in removing adherent scale of venous eczema without damaging the skin. Managing complications of venous eczema Itch and pain are the most commonly reported symptoms of venous eczema. Management of itch is as important as management of pain and eczema. Emollients can effectively reduce itch, so their importance should not be underestimated.
  • #103 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Nurses can work with patients who have venous disease to improve their health and wellbeing by giving them advice on weight loss, adequate exercise and posture. […] The symptoms and complications of venous eczema have a negative effect on quality of life. Nurses are well placed to help patients by diagnosing venous eczema, assessing and treating symptoms, referring patients who need treatment for varicose veins, advising on lifestyle changes, and treating any other issues that reduce their quality of life.
  • #104 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Nurses can work with patients who have venous disease to improve their health and wellbeing by giving them advice on weight loss, adequate exercise and posture. […] The symptoms and complications of venous eczema have a negative effect on quality of life. Nurses are well placed to help patients by diagnosing venous eczema, assessing and treating symptoms, referring patients who need treatment for varicose veins, advising on lifestyle changes, and treating any other issues that reduce their quality of life.
  • #105 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Apply a prescribed topical steroid: start with a potent steroid cream applied accurately daily to the patches until they have flattened out. […] Use a moisturising cream frequently to keep the skin on the legs smooth and soft. […] Venous eczema cannot be completely prevented but the number and severity of flare-ups can be reduced by the following measures. […] Venous eczema tends to be a recurring or chronic disorder lifelong. Treat recurrence promptly with topical steroids.
  • #106 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Apply a prescribed topical steroid: start with a potent steroid cream applied accurately daily to the patches until they have flattened out. […] Use a moisturising cream frequently to keep the skin on the legs smooth and soft. […] Venous eczema cannot be completely prevented but the number and severity of flare-ups can be reduced by the following measures. […] Venous eczema tends to be a recurring or chronic disorder lifelong. Treat recurrence promptly with topical steroids.
  • #107 Varicose Eczema: Treatment Guide for Venous Eczema: Lakeshore Veins
    https://lakeshoreveins.com/complete-varicose-eczema-treatment-guide/
    Varicose Eczema, also known as venous eczema or stasis dermatitis, is a medical condition which describes the dry irritated skin caused by abnormal pressure in the leg veins. Varicose eczema occurs in the legs and is more common in people with varicose veins. However, varicose veins do not have to be present to have varicose eczema. […] Patients have patchy areas of dry, flaky, itchy skin on the lower legs. The itching can lead to scratching or skin break down. […] Initial management is with conservative care including: Maintaining a healthy weight. […] Compression stockings: Medical grade graduated compression stockings are tightest at the ankle. The level of tightness decreases as they go up the leg. Thereby, pushing the fluid in the legs upward against gravity. We recommend wearing compression stockings during the day time.
  • #108 Eczema types: Stasis dermatitis self-care
    https://www.aad.org/public/diseases/eczema/types/stasis-dermatitis/self-care
    If you have stasis dermatitis, a treatment plan along with self-care can get the disease under control and prevent it from worsening. Here are the healthy habits that dermatologists recommend for their patients who have stasis dermatitis. […] Wear loose-fitting cotton clothing. Wool and other rough fabrics, polyester, and rayon can irritate skin with stasis dermatitis and lead to a flare-up. A loose fit is also important. Tight waistbands and snug pants interfere with your circulation. If clothing rubs against stasis dermatitis, the fabric can irritate the sensitive skin. […] Use your compression garment if your dermatologist recommends one. Compression can: Improve the circulation in your legs, Prevent open sores, Reduce your risk of another flare. […] Avoid injuring the area and aggravating the stasis dermatitis. The skin with stasis dermatitis is very sensitive. If you injure or aggravate the area, it could lead to an infection or open sores.
  • #109 Varicose Eczema: Treatment Guide for Venous Eczema: Lakeshore Veins
    https://lakeshoreveins.com/complete-varicose-eczema-treatment-guide/
    Varicose Eczema, also known as venous eczema or stasis dermatitis, is a medical condition which describes the dry irritated skin caused by abnormal pressure in the leg veins. Varicose eczema occurs in the legs and is more common in people with varicose veins. However, varicose veins do not have to be present to have varicose eczema. […] Patients have patchy areas of dry, flaky, itchy skin on the lower legs. The itching can lead to scratching or skin break down. […] Initial management is with conservative care including: Maintaining a healthy weight. […] Compression stockings: Medical grade graduated compression stockings are tightest at the ankle. The level of tightness decreases as they go up the leg. Thereby, pushing the fluid in the legs upward against gravity. We recommend wearing compression stockings during the day time.
  • #110
  • #111 Varicose eczema or stasis dermatitis: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/182793
    People with venous stasis dermatitis will usually have it for the rest of their life. The following lifestyle adjustments may help prevent this condition: exercising regularly, eating a nutritious, low sodium diet, managing weight, wearing loose-fitting cotton clothing, taking breaks from long periods of sitting or standing, avoiding injuries to the legs, avoiding products that may irritate the skin, moisturizing the skin. […] There is no cure for venous stasis dermatitis. However, treatment can relieve the symptoms.
  • #112 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Venous eczema is a common form of eczema/dermatitis that affects one or both lower legs in association with venous insufficiency. It is also called gravitational dermatitis. […] Venous eczema is most often seen in middle-aged and older patients it is reported to affect 20% of those over 70 years. […] Venous eczema appears to be due to fluid collecting in the tissues and activation of the innate immune response. […] Venous eczema can form discrete patches or become confluent and circumferential. […] The diagnosis of venous eczema is clinical. […] Don’t stand for long periods. […] Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively. […] During the acute phase of eczema, bandaging is important to reduce swelling. […] When eczema has settled, wear graduated compression socks or stockings long term.
  • #113 Varicose eczema or stasis dermatitis: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/182793
    People with venous stasis dermatitis will usually have it for the rest of their life. The following lifestyle adjustments may help prevent this condition: exercising regularly, eating a nutritious, low sodium diet, managing weight, wearing loose-fitting cotton clothing, taking breaks from long periods of sitting or standing, avoiding injuries to the legs, avoiding products that may irritate the skin, moisturizing the skin. […] There is no cure for venous stasis dermatitis. However, treatment can relieve the symptoms.
  • #114 Varicose and Leg Eczema: Effective Treatments & Prevention Tips
    https://www.dexeryl.com/en/your-skin/atopic-dermatitis/eczema-body/eczema-leg-and-varicose
    Maintaining the health of the skin is crucial in the treatment of varicose eczema: Gentle cleansing followed by the regular application of emollient creams can soothe dry skin and prevent further complications. […] Preventing varicose eczema centers on the proactive management of modifiable risk factors. These include obesity, a sedentary lifestyle, extended periods in fixed positions, pre-existing contact eczema, and cardio-renal diseases. Implementing key daily practices and lifestyle adjustments plays a crucial role in prevention: Engage in regular walking and ensure that your legs are elevated while sitting or lying down to enhance blood circulation. […] Regular medical monitoring allows for the prompt treatment of any venous insufficiency and the implementation of tailored prevention strategies.
  • #115 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Apply a prescribed topical steroid: start with a potent steroid cream applied accurately daily to the patches until they have flattened out. […] Use a moisturising cream frequently to keep the skin on the legs smooth and soft. […] Venous eczema cannot be completely prevented but the number and severity of flare-ups can be reduced by the following measures. […] Venous eczema tends to be a recurring or chronic disorder lifelong. Treat recurrence promptly with topical steroids.
  • #116 Varicose eczema or stasis dermatitis: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/182793
    People with venous stasis dermatitis will usually have it for the rest of their life. The following lifestyle adjustments may help prevent this condition: exercising regularly, eating a nutritious, low sodium diet, managing weight, wearing loose-fitting cotton clothing, taking breaks from long periods of sitting or standing, avoiding injuries to the legs, avoiding products that may irritate the skin, moisturizing the skin. […] There is no cure for venous stasis dermatitis. However, treatment can relieve the symptoms.
  • #117 Varicose eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/varicose-eczema/
    There are a number of treatments available to help keep your skin supple and prevent ulcers. All the tips on reducing the risk of developing varicose eczema should still be followed since these will also help to improve the eczema. […] This type of eczema can be an ongoing problem. The condition can become worse and then settle down, but if you have a good skin care routine, and are taking steps to support the blood circulation in the legs; together, these actions will help prevent flare-ups.
  • #118 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #119 What Is Varicose Eczema? – Vein Centers of Connecticut
    https://ctveindocs.com/blog/varicose-veins/varicose-eczema/
    This long-term skin condition starts at the ankle and, over time, moves up the calf and leg. Symptoms can fluctuate in severity and appearance. The warning signs include: Dry, itchy and flaky skin, Skin discoloration, Swelling, particularly at night, Scaly sores that can weep. […] If varicose eczema is left untreated, several other serious conditions that may develop: Lipodermatosclerosis: Inflammation of fat under the skin, causing it to harden. Leg Ulcers: Chronic sores that develop inside the leg due to bacteria in the tissue. Bacterial Infections: In the deep layers of the skin, may cause scabs and scarring. Cellulitis: Skin infection that can spread through the leg. […] If you display varicose vein symptoms, a dermatologist may refer you to a vein specialist. At the Vein Centers of Connecticut, we will perform an ultrasound and recommend the best treatment option for you. To help prevent vein disease and varicose eczema: Avoid prolonged standing, Exercise, Frequently elevate your legs, Keep your skin moisturized. […] You can also wear compression stockings. These elasticized garments gently squeeze the legs to help improve circulation and encourage blood flow to the heart.
  • #120 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #121 What Is Varicose Eczema? – Vein Centers of Connecticut
    https://ctveindocs.com/blog/varicose-veins/varicose-eczema/
    This long-term skin condition starts at the ankle and, over time, moves up the calf and leg. Symptoms can fluctuate in severity and appearance. The warning signs include: Dry, itchy and flaky skin, Skin discoloration, Swelling, particularly at night, Scaly sores that can weep. […] If varicose eczema is left untreated, several other serious conditions that may develop: Lipodermatosclerosis: Inflammation of fat under the skin, causing it to harden. Leg Ulcers: Chronic sores that develop inside the leg due to bacteria in the tissue. Bacterial Infections: In the deep layers of the skin, may cause scabs and scarring. Cellulitis: Skin infection that can spread through the leg. […] If you display varicose vein symptoms, a dermatologist may refer you to a vein specialist. At the Vein Centers of Connecticut, we will perform an ultrasound and recommend the best treatment option for you. To help prevent vein disease and varicose eczema: Avoid prolonged standing, Exercise, Frequently elevate your legs, Keep your skin moisturized. […] You can also wear compression stockings. These elasticized garments gently squeeze the legs to help improve circulation and encourage blood flow to the heart.
  • #122 What Is Varicose Eczema? – Vein Centers of Connecticut
    https://ctveindocs.com/blog/varicose-veins/varicose-eczema/
    This long-term skin condition starts at the ankle and, over time, moves up the calf and leg. Symptoms can fluctuate in severity and appearance. The warning signs include: Dry, itchy and flaky skin, Skin discoloration, Swelling, particularly at night, Scaly sores that can weep. […] If varicose eczema is left untreated, several other serious conditions that may develop: Lipodermatosclerosis: Inflammation of fat under the skin, causing it to harden. Leg Ulcers: Chronic sores that develop inside the leg due to bacteria in the tissue. Bacterial Infections: In the deep layers of the skin, may cause scabs and scarring. Cellulitis: Skin infection that can spread through the leg. […] If you display varicose vein symptoms, a dermatologist may refer you to a vein specialist. At the Vein Centers of Connecticut, we will perform an ultrasound and recommend the best treatment option for you. To help prevent vein disease and varicose eczema: Avoid prolonged standing, Exercise, Frequently elevate your legs, Keep your skin moisturized. […] You can also wear compression stockings. These elasticized garments gently squeeze the legs to help improve circulation and encourage blood flow to the heart.
  • #123 Is Varicose Eczema Serious? | The VeinCare Centre
    https://www.theveincarecentre.co.uk/blog/is-varicose-eczema-serious/
    The majority of people with varicose eczema have a problem with the leg veins that can be cured by non-invasive procedures under local anaesthetic on a walk-in walk out basis — procedures such as laser, radiofrequency, foam sclerotherapy or superglue. […] Dermatologists or GPs with a lot of experience and knowledge of skin conditions can help with varicose eczema in 2 ways: To make a diagnosis. To help with the distressing symptoms of itch. […] Varicose eczema should be taken seriously. It is a warning sign that the skin is being damaged by inflammation and if neglected and not treated, varicose eczema will progress to a leg ulcer. […] Initially varicose eczema looks very minor – just a little rash that comes and goes. With time it will get worse and at some stage, it will not only be serious, but it becomes urgent.
  • #124 Varicose Eczema (Symptoms and Treatment) | Doctor
    https://patient.info/doctor/varicose-eczema-pro
    If there is poor response to the above management, consider contact dermatitis, flares of lipodermatosclerosis requiring very potent topical steroids, or secondary infection needing treatment with topical or usually oral antibiotics. […] […] This condition is likely to require involvement of different disciplines. Do not be reluctant to use the expertise of other members of the primary healthcare team. […] […] When there are no local policies, consider referral when varicose veins present with progressive skin changes or a history of ulceration, there is significant peripheral arterial disease, there is inadequate control of skin disease with primary care management, or there is suspected contact dermatitis. […] […] This is a chronic condition and takes a long time to heal. Topical steroids should clear the eczema but the secondary pigmentary changes will persist. Poor adherence to strategies such as support hosiery or bandages may make prognosis worse than it should be. If ulceration occurs, it will be a slower resolution. If there is arterial insufficiency, healing is poor. Complications include cellulitis, ulceration, and contact dermatitis. […] […] There may be scope for prevention of skin disease and other complications with better management of varicose veins, better management of venous insufficiency, prevention of DVT, and better DVT detection and management.
  • #125 Varicose Eczema (Symptoms and Treatment) | Doctor
    https://patient.info/doctor/varicose-eczema-pro
    If there is poor response to the above management, consider contact dermatitis, flares of lipodermatosclerosis requiring very potent topical steroids, or secondary infection needing treatment with topical or usually oral antibiotics. […] […] This condition is likely to require involvement of different disciplines. Do not be reluctant to use the expertise of other members of the primary healthcare team. […] […] When there are no local policies, consider referral when varicose veins present with progressive skin changes or a history of ulceration, there is significant peripheral arterial disease, there is inadequate control of skin disease with primary care management, or there is suspected contact dermatitis. […] […] This is a chronic condition and takes a long time to heal. Topical steroids should clear the eczema but the secondary pigmentary changes will persist. Poor adherence to strategies such as support hosiery or bandages may make prognosis worse than it should be. If ulceration occurs, it will be a slower resolution. If there is arterial insufficiency, healing is poor. Complications include cellulitis, ulceration, and contact dermatitis. […] […] There may be scope for prevention of skin disease and other complications with better management of varicose veins, better management of venous insufficiency, prevention of DVT, and better DVT detection and management.
  • #126 Varicose Eczema | The VeinCare Centre
    https://www.theveincarecentre.co.uk/varicose-eczema/
    Varicose eczema should be taken seriously. It is a warning sign that the skin is being damaged by inflammation and if neglected and not treated, varicose eczema may progress to a leg ulcer. […] Varicose Eczema is a progressive inflammatory condition of the leg veins and the skin around the ankle. That means it will get worse and it may permanently damage the microcirculation of the skin. […] If the skin is cracked and weeping, then infection can develop. The infection can spread up the leg and become cellulitis or the infection can spread to the blood stream leading to sepsis. […] Weeping is potentially serious because it means that the skin has small cracks in it. These cracks allow fluid out but they also may allow infection in sometimes leading to sepsis. […] A leg ulcer in unhealthy skin affected by varicose eczema is very difficult to get healed. Even once healed, a leg ulcer often comes back. For these reasons, it is always best to act when varicose eczema develops and weeping is a particularly important sign that treatment is urgent.
  • #127 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Older people often experience venous eczema, which can be safely diagnosed, treated and managed by nurses in the community. […] This article describes the pathophysiology of venous disease and outlines the principles of diagnosis and treatment of venous eczema. It stresses the role of nurses in diagnosing the condition, treating its symptoms and helping patients make lifestyle changes to improve their quality of life. […] Nurses are in a unique position to manage venous disease: they can diagnose and treat venous eczema and work with patients in order to maintain their health and wellbeing. […] Venous eczema is diagnosed on the basis of clinical features. When eczema is present, the skin is usually dry and can be red, cracked, inflamed, itchy and scaly. […] Careful observation and the CEAP classification are helpful in diagnosis. If venous eczema has been diagnosed, the priority is to assess and treat symptoms.
  • #128 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Nurses can work with patients who have venous disease to improve their health and wellbeing by giving them advice on weight loss, adequate exercise and posture. […] The symptoms and complications of venous eczema have a negative effect on quality of life. Nurses are well placed to help patients by diagnosing venous eczema, assessing and treating symptoms, referring patients who need treatment for varicose veins, advising on lifestyle changes, and treating any other issues that reduce their quality of life.
  • #129 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Older people often experience venous eczema, which can be safely diagnosed, treated and managed by nurses in the community. […] This article describes the pathophysiology of venous disease and outlines the principles of diagnosis and treatment of venous eczema. It stresses the role of nurses in diagnosing the condition, treating its symptoms and helping patients make lifestyle changes to improve their quality of life. […] Nurses are in a unique position to manage venous disease: they can diagnose and treat venous eczema and work with patients in order to maintain their health and wellbeing. […] Venous eczema is diagnosed on the basis of clinical features. When eczema is present, the skin is usually dry and can be red, cracked, inflamed, itchy and scaly. […] Careful observation and the CEAP classification are helpful in diagnosis. If venous eczema has been diagnosed, the priority is to assess and treat symptoms.
  • #130 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #131 Journal of Community Nursing
    https://www.journalofpracticenursing.co.uk/uploads/files/reader/sct/sct-04-2015/files/assets/basic-html/page56.html
    Patients living with venous eczema require such support and guidance to enhance self-efficacy skills and quality of life. Acute, wet, weeping inflamed varicose eczema requires the lower leg to be soaked for 20 minutes in a solution of potassium permanganate 1:10,000 solution. Treatment regimen should include: Daily soaks can be continued until dried exudate, crusts and serous fluid are no longer evident. Cleansing of the skin and moisturisation can be achieved using an oil-in-water-based cream or lotion. Moisturising the skin can continue at least twice-daily. Thereafter, progress to a greasier-based emollient as the skin becomes more dry and scaly. Any residual inflamed skin can be treated with a mild-to-moderate topical corticosteroid. Due to the vulnerability of the skin in venous eczema, topical corticosteroids should be used intermittently, only when inflammatory lesions are present. Sub-acute and chronic venous eczema, including lipodermatosclerosis, respond well to daily intensive emollient therapy. Emollient soaks, moisturisation and intermittent mild-to-moderately potent topical corticosteroids (only on inflammatory lesions) effectively soothe itch and protect the skin. Medicated paste bandages have a place in the management of chronic venous eczema where occlusion is indicated and can be used under compression hosiery, if venous insufficiency exists. Emollient wet wrap technique is also useful in removing adherent scale of venous eczema without damaging the skin. Managing complications of venous eczema Itch and pain are the most commonly reported symptoms of venous eczema. Management of itch is as important as management of pain and eczema. Emollients can effectively reduce itch, so their importance should not be underestimated.
  • #132 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    In patients with venous eczema, emollient therapy combined with gentle skin cleansing is essential to maintain skin health. Emollients hydrate the skin, reduce scaling and reduce the risks of flare-ups and infection. […] Steroids are an essential aspect of treatment in severe venous eczema. They are used with emollients to treat acute and subacute flare-ups. […] If not managed well, venous eczema can lead to dry, thickened, scaly and cracked skin that can become infected. […] One method of reducing leg swelling is compression, using compression hosiery, or, if the swelling is severe, compression bandages. […] Patients with primary or symptomatic recurrent varicose veins, lower limb skin changes such as pigmentation or eczema, superficial vein thrombosis and suspected venous incompetence, venous ulcers or a healed venous leg ulcer should be referred to a vascular service for assessment and treatment.
  • #133 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Nurses can work with patients who have venous disease to improve their health and wellbeing by giving them advice on weight loss, adequate exercise and posture. […] The symptoms and complications of venous eczema have a negative effect on quality of life. Nurses are well placed to help patients by diagnosing venous eczema, assessing and treating symptoms, referring patients who need treatment for varicose veins, advising on lifestyle changes, and treating any other issues that reduce their quality of life.
  • #134 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Nurses can work with patients who have venous disease to improve their health and wellbeing by giving them advice on weight loss, adequate exercise and posture. […] The symptoms and complications of venous eczema have a negative effect on quality of life. Nurses are well placed to help patients by diagnosing venous eczema, assessing and treating symptoms, referring patients who need treatment for varicose veins, advising on lifestyle changes, and treating any other issues that reduce their quality of life.
  • #135 Varicose Eczema (Symptoms and Treatment) | Doctor
    https://patient.info/doctor/varicose-eczema-pro
    If there is poor response to the above management, consider contact dermatitis, flares of lipodermatosclerosis requiring very potent topical steroids, or secondary infection needing treatment with topical or usually oral antibiotics. […] […] This condition is likely to require involvement of different disciplines. Do not be reluctant to use the expertise of other members of the primary healthcare team. […] […] When there are no local policies, consider referral when varicose veins present with progressive skin changes or a history of ulceration, there is significant peripheral arterial disease, there is inadequate control of skin disease with primary care management, or there is suspected contact dermatitis. […] […] This is a chronic condition and takes a long time to heal. Topical steroids should clear the eczema but the secondary pigmentary changes will persist. Poor adherence to strategies such as support hosiery or bandages may make prognosis worse than it should be. If ulceration occurs, it will be a slower resolution. If there is arterial insufficiency, healing is poor. Complications include cellulitis, ulceration, and contact dermatitis. […] […] There may be scope for prevention of skin disease and other complications with better management of varicose veins, better management of venous insufficiency, prevention of DVT, and better DVT detection and management.
  • #136 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Nurses can work with patients who have venous disease to improve their health and wellbeing by giving them advice on weight loss, adequate exercise and posture. […] The symptoms and complications of venous eczema have a negative effect on quality of life. Nurses are well placed to help patients by diagnosing venous eczema, assessing and treating symptoms, referring patients who need treatment for varicose veins, advising on lifestyle changes, and treating any other issues that reduce their quality of life.