Żylakiowe zapalenie skóry
Epidemiologia
Żylakowe zapalenie skóry (stasis dermatitis) jest przewlekłą, zapalną dermatozą kończyn dolnych, będącą zaawansowaną manifestacją przewlekłej niewydolności żylnej (CVI), najczęściej klasyfikowaną jako stopień C4 w systemie CEAP. Choroba dotyka około 6-7% populacji powyżej 50. roku życia, z częstością wzrastającą do 20% u osób powyżej 70. roku życia, a u pacjentów z owrzodzeniami żylnymi współwystępuje u 37-44%. Etiopatogeneza opiera się na przewlekłym nadciśnieniu żylnym spowodowanym niewydolnością zastawek żylnych, co prowadzi do obrzęku i reakcji zapalnej skóry. Czynniki ryzyka obejmują płeć żeńską, wiek, otyłość, ciążę, przebyte zakrzepice żył głębokich, siedzący tryb życia oraz choroby współistniejące, takie jak nadciśnienie tętnicze i niewydolność serca. Diagnostyka różnicowa jest istotna, gdyż choroba bywa mylona z cellulitis, atopowym zapaleniem skóry czy grzybicą, co może prowadzić do nieadekwatnego leczenia i zwiększonego obciążenia systemu opieki zdrowotnej.
- Epidemiologia żylakowego zapalenia skóry
- Częstotliwość występowania w zależności od wieku
- Różnice płciowe w występowaniu choroby
- Różnice geograficzne i etniczne
- Powikłania i związek z owrzodzeniami żylnymi
- Czynniki ryzyka i przyczyny żylakowego zapalenia skóry
- Nadzór i klasyfikacja choroby
- Systemy klasyfikacji choroby żylnej
- Metody nadzoru epidemiologicznego
- Obciążenie systemu opieki zdrowotnej
- Problemy diagnostyczne i wyzwania w nadzorze
- Trudności w diagnostyce różnicowej
- Czynniki komplikujące nadzór epidemiologiczny
- Współwystępowanie z innymi chorobami
- Trendy i prognozy epidemiologiczne
- Zmiany demograficzne wpływające na częstotliwość występowania
- Prognozy dotyczące obciążenia systemów opieki zdrowotnej
- Wpływ zmian stylu życia na epidemiologię choroby
- Znaczenie wczesnej diagnostyki i leczenia w nadzorze epidemiologicznym
Epidemiologia żylakowego zapalenia skóry
Żylakowe zapalenie skóry (stasis dermatitis, venous eczema) to przewlekła zapalna choroba skóry, występująca głównie na kończynach dolnych, będąca zaawansowaną manifestacją skórną przewlekłej niewydolności żylnej. Choroba ta najczęściej dotyka osób starszych i jest powszechna u pacjentów z żylakami.12
Częstotliwość występowania w zależności od wieku
Częstość występowania żylakowego zapalenia skóry wyraźnie wzrasta wraz z wiekiem pacjentów. Badania szacują, że schorzenie dotyka około 6-7% populacji powyżej 50. roku życia, co przekłada się na około 15-20 milionów pacjentów powyżej 50. roku życia w Stanach Zjednoczonych. Czyni to żylakowe zapalenie skóry dwukrotnie częstszym niż łuszczyca i tylko nieznacznie mniej powszechnym niż łojotokowe zapalenie skóry.1
W populacji osób starszych częstość występowania jest jeszcze wyższa. U osób powyżej 70. roku życia szacuje się, że choroba może dotykać nawet 20% populacji, a niektóre źródła wskazują nawet na 70% osób w tej grupie wiekowej.123
W badaniach analizujących zależność od wieku zaobserwowano, że żylakowe zapalenie skóry zidentyfikowano u 1,4% osób z żylakami w wieku 15 lat i więcej. W innych badaniach stwierdzono występowanie tego schorzenia u 6,2% osób w wieku 65 lat i więcej. Podobne badania wykazały częstość występowania rzędu 5,9% u osób ze średnią wieku 74 lata (zakres 50-91 lat), wzrastającą do 6,9% u osób ze średnią wieku 80 lat (zakres 55-106 lat).12
Różnice płciowe w występowaniu choroby
Żylakowe zapalenie skóry częściej występuje u kobiet niż u mężczyzn. Nieznaczna przewaga kobiet w statystykach jest najprawdopodobniej związana z tym, że ciąża powoduje znaczne obciążenie układu żylnego kończyn dolnych, co u wielu kobiet prowadzi do wcześniejszego i poważniejszego zaburzenia funkcji zastawek w żyłach kończyn dolnych.123
Interesujące jest, że niektóre lokalne badania wykazują odmienne wzorce występowania. Przykładowo, w jednym z badań przeprowadzonych w Indiach zaobserwowano 10-krotnie wyższą częstość występowania choroby u mężczyzn w porównaniu do wcześniejszych badań, które niezmiennie wskazywały na przewagę kobiet.1
Różnice geograficzne i etniczne
Przewlekła niewydolność żylna, która prowadzi do żylakowego zapalenia skóry, wykazuje zróżnicowane rozpowszechnienie geograficzne. Najwyższą częstość występowania odnotowano w krajach zachodnich, gdzie waha się ona od 1 do 40% u kobiet i od 1 do 17% u mężczyzn.12
W badaniu przeprowadzonym w Arabii Saudyjskiej szacowana ogólna częstość występowania przewlekłej niewydolności żylnej wyniosła około 45,6%. Badanie szkockie wykazało, że skorygowana o wiek częstość występowania przewlekłej niewydolności żylnej wynosi 9% u mężczyzn i 7% u kobiet, przy czym częstość ta wzrasta wraz z wiekiem.1
Badanie z 2020 roku, obejmujące 66 621 osób, wykazało, że łagodna przewlekła niewydolność żylna dotyczyła do 55% osób rasy białej i 28% osób pochodzenia latynoskiego. Cięższe objawy występowały u 61% osób rasy białej i 21% Afroamerykanów. Badania sugerują również, że przewlekła niewydolność żylna wydaje się być mniej powszechna w krajach nieeuropejskich.1
W Indiach, gdzie zmiany stylu życia i starzenie się populacji przyczyniają się do wzrostu chorób żylnych, żylakowe zapalenie skóry dotyka coraz większej liczby osób. Według badań, prawie 20% osób z przewlekłą niewydolnością żylną rozwinie jakąś formę żylakowego zapalenia skóry w ciągu swojego życia.1
Powikłania i związek z owrzodzeniami żylnymi
Żylakowe zapalenie skóry jest często powiązane z owrzodzeniami żylnymi. Około 37-44% pacjentów z owrzodzeniami podudzi ma również żylakowe zapalenie skóry.1
W Stanach Zjednoczonych szacuje się, że od 2 do 6 milionów osób ma zaawansowane formy przewlekłej niewydolności żylnej, obejmującej obrzęki i zmiany skórne, z czego około 500 000 osób cierpi na bolesne owrzodzenia żylne.1
Owrzodzenia żylne kończyn dolnych stanowią istotne powikłanie u pacjentów z zaawansowaną niewydolnością żylną. Mimo że terapia uciskowa pozostaje najczęściej stosowanym leczeniem owrzodzeń żylnych, z wygojeniem owrzodzeń zgłaszanym u około 70% pacjentów przestrzegających leczenia, znaczna część pacjentów nie reaguje w pełni na to leczenie.1
Około 2,2 miliona osób w Europie i ponad 6 milionów osób w USA cierpi na owrzodzenia żylne kończyn dolnych. W jednym z badań obejmującym 360 pacjentów z żylakowym zapaleniem skóry wykazano, że wzrost ciśnienia żylnego podczas chodzenia jest związany z poważnymi uszkodzeniami skóry, w tym owrzodzeniami.1
Czynniki ryzyka i przyczyny żylakowego zapalenia skóry
Żylakowe zapalenie skóry jest zwykle spowodowane zwiększonym ciśnieniem w żyłach kończyn dolnych i obrzękiem żył pod skórą nóg. Głównym czynnikiem etiologicznym jest przewlekła niewydolność żylna, która prowadzi do nadciśnienia żylnego.12
Mechanizm powstawania choroby
Podwyższone ciśnienie w żyłach jest wynikiem nieszczelnych zastawek żylnych. Gdy zastawki nie działają prawidłowo, trudno jest krwi przepływać z powrotem do góry nóg pokonując siłę grawitacji. W rezultacie żyły są bardziej wypełnione krwią niż powinny, co oznacza, że ciśnienie wewnątrz nich jest wyższe.1
Uważa się, że żylakowe zapalenie skóry może rozwijać się w wyniku reakcji układu odpornościowego na płyny w tkankach pod skórą. Mechanizm powstawania żylaków i związanego z nimi zapalenia skóry obejmuje predyspozycje genetyczne, niewydolne zastawki, osłabione ściany naczyń i zwiększone ciśnienie wewnątrz żył.12
Główne czynniki ryzyka
Do najważniejszych czynników ryzyka żylakowego zapalenia skóry należą:
- Płeć – choroba częściej występuje u kobiet12
- Wiek – osoby powyżej 50. roku życia są w grupie zwiększonego ryzyka, a częstość występowania wzrasta z każdą dekadą12
- Żylaki – prawie każdy, kto ma żylakowe zapalenie skóry, ma widoczne żylaki1
- Otyłość – zwiększa ciśnienie w żyłach nóg12
- Ciąża – zwiększa ciśnienie w żyłach nóg12
- Przebyta zakrzepica żył głębokich (DVT) – zakrzepy krwi w żyłach nóg mogą uszkodzić zastawki w żyłach12
- Siedzący lub stojący tryb życia – długotrwałe pozostawanie w jednej pozycji12
- Choroby współistniejące – nadciśnienie tętnicze, niewydolność serca, choroby nerek, zapalenie żył12
Związek z innymi chorobami układu żylnego
Żylakowe zapalenie skóry występuje głównie u pacjentów z już istniejącymi problemami żylnymi. Około 10% osób z żylakami rozwija zmiany skórne, w tym żylakowe zapalenie skóry.12
Zaburzenia przepływu krwi przez żyły kończyn dolnych (przewlekła niewydolność żylna – CVI) stanowią główną przyczynę tego schorzenia. Żylakowe zapalenie skóry często pojawia się w zaawansowanych stadiach CVI (stopień C4 w klasyfikacji CEAP używanej przez specjalistów naczyniowych).12
Nadzór i klasyfikacja choroby
Ze względu na rosnącą częstość występowania i istotne obciążenie systemu opieki zdrowotnej, żylakowe zapalenie skóry wymaga odpowiedniego nadzoru epidemiologicznego i klasyfikacji, co pozwala na lepsze zarządzanie chorobą i monitorowanie jej przebiegu.1
Systemy klasyfikacji choroby żylnej
Do oceny zaawansowania niewydolności żylnej i związanego z nią żylakowego zapalenia skóry stosuje się kilka systemów klasyfikacji:
- Klasyfikacja CEAP (Clinical-Etiological-Anatomical-Pathophysiological) – używana do określenia poziomu i ciężkości choroby żylnej12
- Skala VCSS (Venous Clinical Severity Score) – stosowana do oceny odpowiedzi na leczenie i zmian w ciężkości choroby w czasie12
Według klasyfikacji CEAP, żylakowe zapalenie skóry zazwyczaj odpowiada stopniowi C4 choroby żylnej. Około 10% osób z żylakami (choroba C2 w klasyfikacji CEAP) rozwija zmiany skórne C4, które mogą obejmować żylakowe zapalenie skóry. Około 3% osób z chorobą żylną rozwija owrzodzenia żylne, a między 37% a 44% osób z aktywnym owrzodzeniem żylnym (choroba C6) ma żylakowe zapalenie skóry.1
Metody nadzoru epidemiologicznego
Nadzór epidemiologiczny nad żylakowym zapaleniem skóry obejmuje monitorowanie częstości występowania, czynników ryzyka i skuteczności leczenia. Do metod nadzoru należą:
- Badania przekrojowe populacji w celu określenia częstości występowania1
- Monitorowanie pacjentów z przewlekłą niewydolnością żylną pod kątem rozwoju zmian skórnych1
- Ocena wpływu czynników demograficznych i środowiskowych1
- Analiza ekonomicznego obciążenia systemów opieki zdrowotnej12
Obciążenie systemu opieki zdrowotnej
Przewlekłe choroby żylne, w tym żylakowe zapalenie skóry, bezpośrednio wpływają na zasoby opieki zdrowotnej i są związane z utratą rocznych dni pracy oraz zwiększeniem ogólnych kosztów leczenia. W Stanach Zjednoczonych koszty leczenia chorób żylnych wynoszą od 2,5 do 3 miliardów dolarów, przy stracie 2 milionów dni roboczych rocznie.1
Ogólnie rzecz biorąc, przewlekłe choroby żylne stanowią 13% całkowitych budżetów opieki zdrowotnej w krajach z rozwiniętymi systemami opieki zdrowotnej, chociaż nie ma solidnego piśmiennictwa opisującego ekonomiczny wpływ samego żylakowego zapalenia skóry.1
Przewlekła niewydolność żylna jest często niedodiagnozowana i niedostatecznie leczona przez długi czas, a niskie rozpoznanie żylakowego zapalenia skóry w systemie opieki zdrowotnej oraz brak usług dermatologicznych w wielu szpitalach, oddziałach ratunkowych i ośrodkach pilnej opieki dodatkowo zwiększa obciążenie pacjenta.12
Problemy diagnostyczne i wyzwania w nadzorze
Mimo stosunkowo wysokiej częstości występowania, żylakowe zapalenie skóry często napotyka na problemy diagnostyczne, co komplikuje jego właściwy nadzór epidemiologiczny.1
Trudności w diagnostyce różnicowej
Żylakowe zapalenie skóry bywa mylone z innymi schorzeniami, co prowadzi do opóźnień w diagnozie i niewłaściwego leczenia:
- Zapalenie tkanki łącznej (cellulitis) – dermatolodzy często spotykają pacjentów z żylakowym zapaleniem skóry, którzy byli bezskutecznie leczeni jako przypadki zapalenia tkanki łącznej kończyny dolnej na oddziałach medycznych lub chirurgicznych1
- Grzybica skóry (tinea corporis) – zakażenia grzybicze często naśladują wiele innych chorób skóry związanych z łuszczeniem, rumieniem i krostkami1
- Atopowe zapalenie skóry – może przypominać żylakowe zapalenie skóry, ale ma inne przyczyny i dystrybucję1
Istotne jest wczesne rozpoznanie różnicy między tymi stanami. Powinno to zmniejszyć zachorowalność i koszty w zakresie długości pobytu w szpitalu oraz stosowania drogich dożylnych antybiotyków w przypadku choroby, która nie zagraża życiu i może zostać wyleczona za pomocą miejscowych steroidów w ciągu kilku dni.1
Czynniki komplikujące nadzór epidemiologiczny
Dokładny nadzór epidemiologiczny żylakowego zapalenia skóry jest utrudniony przez kilka czynników:
- Szerokie różnice w szacunkach częstości występowania przewlekłej niewydolności żylnej, co podkreśla lukę w istniejących danych epidemiologicznych12
- Różne metodologie badań i definicje przypadków używane w różnych raportach1
- Zależność obserwowanych liczb od charakterystyki klinicznej i stylu życia badanych populacji1
- Różna świadomość choroby wśród pacjentów i pracowników służby zdrowia1
Współwystępowanie z innymi chorobami
Żylakowe zapalenie skóry często współwystępuje z innymi schorzeniami, co może komplikować diagnostykę i nadzór:
- Alergiczne kontaktowe zapalenie skóry – z powodu stosowanych miejscowo leków jest częstym powikłaniem żylakowego zapalenia skóry, z szacowaną częstością uwrażliwienia kontaktowego wynoszącą nawet 40-90%1
- Uczulenie na składniki preparatów miejscowych – jest powszechne u pacjentów z przewlekłym zapaleniem skóry i owrzodzeniami nóg, które często komplikują i przedłużają leczenie1
- Nadciśnienie tętnicze i niewydolność serca – mogą zwiększać ryzyko obrzęków nóg i w konsekwencji żylakowego zapalenia skóry1
Rzeczywista częstość występowania kontaktowego zapalenia skóry w przypadku żylakowego zapalenia skóry prawdopodobnie wynosi między 50 a 60%, jeśli wszyscy pacjenci z żylakowym zapaleniem skóry zostaną poddani testom płatkowym.1
Trendy i prognozy epidemiologiczne
W związku ze zmianami demograficznymi i stylu życia, obserwuje się określone trendy w epidemiologii żylakowego zapalenia skóry, które pozwalają na formułowanie prognoz dotyczących przyszłego obciążenia tą chorobą.12
Zmiany demograficzne wpływające na częstotliwość występowania
Wraz ze starzeniem się populacji, rosnącymi wskaźnikami otyłości i bardziej siedzącym trybem życia, oczekuje się, że częstość występowania przewlekłej niewydolności żylnej (a w konsekwencji żylakowego zapalenia skóry) będzie wzrastać.12
Dobrze upublicznione starzenie się populacji niewątpliwie doprowadzi do znacznego wzrostu przypadków żylakowego zapalenia skóry w ciągu najbliższych kilku dekad. Ryzyko rozwoju żylakowego zapalenia skóry stale rośnie z każdą mijającą dekadą; biorąc pod uwagę tylko dorosłych powyżej 70. roku życia, częstość występowania żylakowego zapalenia skóry może przekraczać 20%.12
Prognozy dotyczące obciążenia systemów opieki zdrowotnej
Oczekuje się, że rynek leczenia żylakowego zapalenia skóry będzie rozwijał się w latach 2021-2028. Wzrost częstości występowania żylakowego zapalenia skóry oraz rosnąca liczba przypadków nadciśnienia tętniczego, otyłości, zastoinowej niewydolności serca i niewydolności nerek to główne czynniki wpływające na wzrost rynku.1
Przewlekłe choroby żylne, w tym żylakowe zapalenie skóry, stanowią 13% całkowitych budżetów opieki zdrowotnej w krajach z rozwiniętymi systemami opieki zdrowotnej. Ze względu na przewidywany wzrost częstości występowania, obciążenie to prawdopodobnie wzrośnie w nadchodzących latach.1
Wpływ zmian stylu życia na epidemiologię choroby
Zmiany stylu życia mają istotny wpływ na epidemiologię żylakowego zapalenia skóry:
- Siedzący tryb życia – osoby, które siedzą lub stoją przez długi czas bez większej aktywności fizycznej, są narażone na wyższe ryzyko rozwoju żylaków i żylakowego zapalenia skóry1
- Otyłość – stanowi istotny czynnik ryzyka i jej wzrost w populacji przyczynia się do zwiększonej częstości występowania żylakowego zapalenia skóry1
- Starzenie się społeczeństwa – ogólnie ludzie mają większe trudności z poruszaniem się w starszym wieku, co może wpływać na ich krążenie1
Zapobieganie żylakowego zapaleniu skóry koncentruje się na aktywnym zarządzaniu modyfikowalnymi czynnikami ryzyka, takimi jak otyłość, siedzący tryb życia, długotrwałe przebywanie w stałych pozycjach, wcześniej istniejące kontaktowe zapalenie skóry i choroby sercowonerkowo. Wdrożenie kluczowych codziennych praktyk i dostosowań stylu życia odgrywa kluczową rolę w profilaktyce.1
Znaczenie wczesnej diagnostyki i leczenia w nadzorze epidemiologicznym
Wczesna diagnoza i odpowiednie leczenie żylakowego zapalenia skóry są kluczowe nie tylko dla poprawy rokowania poszczególnych pacjentów, ale także dla właściwego nadzoru epidemiologicznego i zarządzania obciążeniem zdrowotnym populacji.12
Korzyści z wczesnej interwencji
Wczesna interwencja w przypadku żylakowego zapalenia skóry przynosi liczne korzyści:
- Zapobieganie progresji do poważniejszych powikłań, takich jak owrzodzenia żylne12
- Zmniejszenie obciążenia systemów opieki zdrowotnej przez skrócenie czasu hospitalizacji i ograniczenie stosowania drogich antybiotyków dożylnych1
- Poprawa jakości życia pacjentów poprzez szybsze łagodzenie objawów1
- Umożliwienie dokładniejszego monitorowania epidemiologicznego choroby1
W przypadku podejrzenia rozwoju żylakowego zapalenia skóry należy jak najszybciej rozpocząć leczenie. Wczesna interwencja może zapobiec poważniejszym powikłaniom.1
Kluczowa rola personelu medycznego
Personel medyczny odgrywa kluczową rolę w nadzorze epidemiologicznym żylakowego zapalenia skóry:
- Lekarze podstawowej opieki zdrowotnej – są często pierwszym punktem kontaktu dla pacjentów z objawami żylakowego zapalenia skóry1
- Dermatolodzy – odgrywają kluczową rolę w diagnostyce różnicowej i specjalistycznym leczeniu1
- Pielęgniarki środowiskowe – mogą bezpiecznie diagnozować, leczyć i zarządzać żylakowym zapaleniem skóry u osób starszych12
- Specjaliści naczyniowi – oceniają krążenie żylne i zalecają leczenie podstawowej niewydolności żylnej1
Pielęgniarki są w dobrej pozycji, aby pomóc pacjentom poprzez diagnozowanie żylakowego zapalenia skóry, ocenę i leczenie objawów, kierowanie pacjentów potrzebujących leczenia żylaków, doradzanie w sprawie zmian stylu życia oraz leczenie wszelkich innych problemów, które obniżają jakość ich życia.1
Kompleksowe podejście do nadzoru i leczenia
Skuteczny nadzór epidemiologiczny wymaga kompleksowego podejścia do diagnostyki i leczenia żylakowego zapalenia skóry:
- Ocena kliniczna – kompleksowa ocena żylakowego zapalenia skóry obejmuje pytania o czynniki wyzwalające, przebieg czasowy objawów, dyskomfort lub ból, powikłania i jakość życia1
- Badania diagnostyczne – zazwyczaj nie są wymagane dodatkowe testy do diagnozy żylakowego zapalenia skóry. Badanie takie jak USG Doppler układu żylnego głębokiego może być wykonane w celu wykluczenia procesów takich jak zakrzepica1
- Wielodyscyplinarne leczenie – stan ten prawdopodobnie wymaga zaangażowania różnych dyscyplin. Nie należy niechętnie korzystać z wiedzy innych członków zespołu podstawowej opieki zdrowotnej1
- Skuteczne zarządzanie – jest wieloaspektowe i wymaga zaangażowania pacjenta oraz jednoczesnego leczenia czynników związanych ze stylem życia1
U pacjenta z rozpoznanym żylakowym zapaleniem skóry priorytetem jest ocena i leczenie objawów. Objawy i powikłania żylakowego zapalenia skóry mają negatywny wpływ na jakość życia.1
Leczenie żylakowego zapalenia skóry ma na celu złagodzenie stanów skórnych i poprawę przepływu krwi. Może to obejmować krótkotrwałe stosowanie kremów kortykosteroidowych do łagodzenia stanów zapalnych skóry, mokrych opatrunków namoczonych w specjalnym roztworze do leczenia sączącego się wyprysku, odzieży uciskowej, takiej jak stopniowane pończochy uciskowe lub opatrunek Unny z wbudowanym opatrunkiem z tlenku cynku w celu poprawy przepływu krwi i zmniejszenia ciśnienia w żyłach.1
Prognozy i monitorowanie długoterminowe
Żylakowe zapalenie skóry jest zazwyczaj chorobą nawracającą lub przewlekłą, wymagającą długoterminowego monitorowania:
- Problem z zastawkami w żyłach, które nie działają prawidłowo, nie może zostać wyleczony; oznacza to, że żylakowe zapalenie skóry nie ustępuje całkowicie, jeśli pozostaje nieleczone1
- Żylakowe zapalenie skóry może być schorzeniem, które będziesz mieć przez całe życie, ale leczenie może pomóc w kontrolowaniu objawów i zapobieganiu ich pogorszeniu1
- Ten rodzaj wyprysku może być problemem ciągłym1
- Żylaki mogą rozwinąć się ponownie po pozornie udanej operacji, ponieważ choroba żylna ma charakter postępujący1
Niestety, żylakowe zapalenie skóry nawraca, jeśli źródło schorzenia (takie jak żylaki) nie zostanie leczone. Najlepszym sposobem zapobiegania żylakowemu zapaleniu skóry jest leczenie żylaków. Eliminacja podstawowej przyczyny niewydolności żylnej znacznie zmniejsza ryzyko rozwoju suchej, łuszczącej się skóry, która mogłaby prowadzić do owrzodzeń.1
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 Stasis Dermatitis: An Overview of Its Clinical Presentation, Pathogenesis, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9968263/
Chronic venous disease, including chronic venous insufficiency, is a common disease that increases with age and is more prevalent in women. Estimates for the prevalence of chronic venous insufficiency vary widely, highlighting a knowledge gap in the extant epidemiological data, with the observed numbers often depending on the clinical characteristics and lifestyles of the populations examined. Geographically, the highest reported prevalence of chronic venous insufficiency is across Western countries, ranging from 1 to 40% in women and from 1 to 17% in men. A Saudi Arabian study estimated the overall prevalence of chronic venous insufficiency as about 45.6%. A Scottish study found the age-adjusted prevalence of chronic venous insufficiency to be 9% in men and 7% in women, with the prevalence increasing with age. In a cross-sectional study of chronic venous insufficiency in patients in 24 cities in Italy, only 22.7% of approximately 5200 adult participants demonstrated no visible signs of the disease. It is estimated that between 2 and 6 million individuals in the United States have advanced forms of chronic venous insufficiency, including swelling and skin changes, with about 500,000 individuals displaying painful venous ulcers. Approximately 37-44% of individuals with leg ulcers had been diagnosed with SD. SD is an advanced cutaneous presentation of chronic venous insufficiency that is more common in older patients; age is positively correlated with the number of insufficient venous segments. In one study, SD was identified in 1.4% of 773 individuals aged 15 years who had varicose veins. In another study, SD was found in 6.2% of 4099 individuals aged 65 years. Similar studies have found an SD prevalence of 5.9% in 68 individuals with a mean age of 74 years (range 50-91), increasing to 6.9% in 584 individuals with a mean age of 80 years (range 55-106). With the increasing age of the US population, rising rates of obesity, and more sedentary lifestyles, the prevalence of chronic venous insufficiency (and, consequently, SD) is expected to increase.
- #1 Stasis Dermatitis: Practice Essentials, Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1084813-overview
Epidemiology […] Although not nearly as prevalent as skin cancer, dermatophytosis, or xerosis, stasis dermatitis affects a significant proportion of the elderly population. No conclusive investigations into morbidity and mortality in stasis dermatitis have been undertaken, but studies have estimated an approximately 6-7% prevalence of the condition in patients older than 50 years. This would translate into approximately 15-20 million patients older than 50 years with stasis dermatitis in the United States. This finding makes stasis dermatitis twice as prevalent as psoriasis and only slightly less prevalent than seborrheic dermatitis. […] In a cross-sectional population study on the prevalence of chronic venous insufficiency, carried out in 24 cities in northern, central, and southern Italy, Chiesa et al found that only 22.7% of the approximately 5900 participants (aged 18-90 years) demonstrated no visible signs of venous disease. Moreover, venous reflux, a sign of venous insufficiency, was found to some extent in about 53% of participants older than 50 years.
- #1 Varicose Eczema (Symptoms and Treatment) | Doctorhttps://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. […] 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.
- #1 Stasis Dermatitis: Practice Essentials, Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1084813-overview
A slight female preponderance has been reported in stasis dermatitis. This is most likely due to the fact that pregnancy results in significant stress on the lower-extremity venous system, with many women experiencing earlier and more severe derangement of lower-extremity valvular function. The risk of developing stasis dermatitis steadily increases with each passing decade; when considering only adults older than 70 years, the prevalence of stasis dermatitis may be greater than 20%. The well-publicized aging of the population will undoubtedly result in a significant increase in cases of stasis dermatitis over the next few decades.
- #1https://www.msjonline.org/index.php/ijrms/article/view/3553
Background: This study was done to determine the epidemiological aspects of stasis eczema and the association of various risk factors of the disease in the local population. […] Of the study population of 120 prevalence is found to be highest in the age group of 50 to 60 years (42.5%) and males are more commonly affected. […] The study confirms the importance of environmental factors in the development of stasis eczema. There is a ten-fold higher prevalence of the disease in men in our population compared to previous studies which invariably reports a female preponderance.
- #1 Varicose eczema or stasis dermatitis: Symptoms, causes, and treatmenthttps://www.medicalnewstoday.com/articles/182793
Estimates suggest that 6 to 7 million people in the United States have poor circulation in the legs, known as venous insufficiency. Every year, about 150,000 people receive a new diagnosis of the condition. […] According to the National Eczema Association (NEA), varicose eczema is more common in females than in males and tends to affect people over the age of 50. The NEA also reports that varicose eczema affects roughly 70% of people over the age of 70. […] A 2020 study looked at the incidence of chronic venous insufficiency, which can lead to varicose eczema. In this study, which involved 66,621 people, mild chronic venous insufficiency affected up to 55% of white people and 28% of Hispanic people. More severe symptoms occurred in up to 61% of white people and 21% of African American people. […] Research also suggests that chronic venous insufficiency appears to be less common in non-Western countries.
- #1 Varicose Eczema: Symptoms, Diagnosis and Treatmenthttps://www.drsumitkapadia.com/blog/varicose-eczema-symptoms-diagnosis-treatment/
In India, where lifestyle changes and aging are contributing to an increase in venous diseases, varicose eczema is affecting a growing number of people. […] According to studies, nearly 20% of people with chronic venous insufficiency will develop some form of varicose eczema during their lifetime. […] Several factors increase the risk of developing varicose eczema. Age, as previously mentioned, is a significant factor, with people over the age of 50 at a higher risk. […] Varicose eczema management includes improving circulation through compression stockings, elevating your legs, staying active, and using prescribed creams or ointments. […] You should consult a vascular surgeon in India if you experience persistent leg swelling, pain, or signs of varicose eczema such as skin discoloration, itching, or ulcers. Early intervention can prevent more serious complications.
- #1 British Journal of Community Nursing – Venous eczema: more than just a rashhttps://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. […] 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.
- #1https://link.springer.com/article/10.1007/s40257-022-00753-5
Venous ulcerations of the lower extremities are a significant complication in patients with advanced venous insufficiency. Although compression therapy remains the most frequently used treatment for venous ulcerations, with the healing of ulcers reported in approximately 70% of treatment-adherent patients, a significant portion of patients do not fully respond to this treatment.
- #1https://link.springer.com/article/10.1007/s13555-023-00908-0
SD is an indication of underlying vascular pathology and, if undiagnosed or left untreated, is a precursor to venous ulcers. […] Approximately 2.2 million individuals in Europe and more than 6 million individuals in the USA experience venous leg ulcers. […] In one study that included 360 patients with SD, it was demonstrated that increases in ambulatory venous pressure are associated with severe skin damage, including ulceration. […] In another study of patients that had negative patch testing and negative deep venous insufficiency, venous hypertension was found to be the most probable cause of SD, thus demonstrating that venous hypertension alone can cause SD in the lower extremities. […] Successful classical vein surgery that targeted superficial venous reflux, including saphenectomy of incompetent superficial vein segments and ligation of proximal point of reflux, led to the complete resolution of SD symptoms in treated patients.
- #1https://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. […] Varicose eczema is usually caused by increased pressure in the leg veins and swelling of the veins under the skin of the leg. […] Almost everyone who gets varicose eczema has visible varicose veins. These are also often a sign that the leg veins are not working properly. […] Some people develop the condition for no obvious reason. […] But there are some factors that increase the chance of this happening, including: gender varicose eczema is more common in women, obesity this can increase the pressure in your leg veins, pregnancy this can also increase the pressure in your leg veins, not being able to move for a long period of time or standing or sitting for long periods of time, having had DVT (deep vein thrombosis) blood clots in leg veins can damage the valves in your veins, increasing age people generally find it harder to move about as they get older.
- #1 Varicose Eczema: Causes, Symptoms, and Treatmenthttps://patient.info/heart-health/varicose-veins-leaflet/varicose-eczema-gravitational-eczema
Varicose eczema mainly affects older people. As many as one in five people over the age of 70 develop varicose eczema. People most at risk are those who have varicose veins, who have had varicose vein surgery, or who have had a thrombosis in a deep leg vein (deep vein thrombosis – a DVT). Varicose eczema is more common in women. […] Varicose eczema is caused when pressure increases in the veins running under the skin and in the deep muscles of the legs. This raised pressure is due to leaky valves in the veins. When the valves are not working well, it is difficult for the blood to flow back up the legs against gravity. So they are more full of blood than they should be, which means the pressure inside them is higher. […] Varicose eczema is seen in people who have varicose veins, or have had a deep venous thrombosis (DVT). These conditions are an increased risk for forming a (further) deep venous thrombosis. This is a blood clot in the leg which can have serious consequences. During a flight this risk increases because you are relatively immobile for long periods of time. It is estimated your risk of having a DVT increases 2-3 times from a long-haul flight.
- #1 Varicose eczema | NHS informhttps://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 is 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 aren’t working properly. […] Varicose eczema is usually caused by increased pressure in your leg veins. […] It is thought that varicose eczema may develop as a result of your immune system reacting to these fluids in the tissues under your skin. […] It is not fully understood why the walls of the veins stretch and the valves weaken. […] Varicose eczema is more common in women. […] Your 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. […] You may be referred to a specialist in a local hospital for further tests. […] 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.
- #1 Varicose and Leg Eczema: Effective Treatments & Prevention Tipshttps://www.dexeryl.com/en/your-skin/atopic-dermatitis/eczema-body/eczema-leg-and-varicose
Varicose eczema, a chronic inflammatory condition of the skin, shares similarities with atopic dermatitis but distinguishes itself by primarily targeting the legs of older adults. Its root cause is often chronic venous insufficiency, reaching stage C4 in the classification system utilized by vascular specialists. This condition is increasingly common as individuals age, with a higher prevalence among women. […] Diagnosing varicose eczema begins with an in-depth review of the patients medical history. Factors that increase risk include being over the age of 50, female gender, history of pregnancy, obesity, experiencing contact dermatitis, extended periods of sitting or standing, cardiovascular and renal diseases, previous phlebitis, a family history of similar conditions, and leg injuries.
- #1 Varicose and Leg Eczema: Effective Treatments & Prevention Tipshttps://www.dexeryl.com/en/your-skin/atopic-dermatitis/eczema-body/eczema-leg-and-varicose
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.
- #1 Varicose Eczema: Symptoms, Diagnosis, Treatment, and Morehttps://www.healthline.com/health/eczema/varicose-eczema
Varicose eczema affects blood flow through your limbs and causes a range of skin conditions, most often in your lower legs. Left untreated, it can lead to severe complications. […] Varicose eczema often appears in the advanced stages of chronic venous insufficiency (CVI). About 2.5 to 6 million people in the United States have advanced forms of CVI. […] Varicose eczema occurs most often in middle-aged and older adults, often from the mid-60s to 70s. Older age along with having varicose veins increases your risk of developing varicose eczema. […] Current or past health conditions can also elevate your risk. These include conditions that affect blood flow or your limbs, such as high blood pressure, phlebitis or inflamed veins, cellulitis, deep vein thrombosis, leg surgery, heart failure, kidney disease or kidney failure, swelling of your lower leg that persists.
- #1 Stasis Dermatitis: An Overview of Its Clinical Presentation, Pathogenesis, and Managementhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9968263/
Chronic venous diseases, including SD, directly impact healthcare resources and are associated with a loss of annual workdays and an increase in overall treatment costs. In the United States, treatment costs of venous diseases are between US$2.5 and US$3 billion, with a loss of 2 million workdays per year. Overall, chronic venous diseases account for 13% of the total healthcare budgets in nations with developed healthcare systems, although there is not a robust body of literature that describes the economic impact of SD. Moreover, chronic venous insufficiency in general is often underdiagnosed and undertreated for prolonged periods of time, and the low recognition of SD within the healthcare system and a lack of dermatology services in many hospitals, emergency rooms, and urgent care settings further compounds the burden on the patient.
- #1 Diagnosing and treating venous eczema | Nursing Timeshttps://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. Venous eczema, a non-infectious inflammatory skin condition involving the lower legs, is thought to affect 20% of those aged 70 and over. Its prevalence is rising due to an ageing population and an increase in the number of obese people, who are at risk of venous disease. Venous eczema is common in older people and thought to affect 20% of those aged 70 and over. It is a result of venous disease, which affects around 33% of adults. Venous disease can have a negative impact on quality of life and, if not well managed, can lead to venous eczema, infection and ulceration. […] The condition is part of a continuum of venous diseases that can be classified according to the Clinical Etiological Anatomical Pathological (CEAP) classification shown in Table 1. The CEAP classification is used to determine the level and severity of venous disease. It can be used in conjunction with the Venous Clinical Severity Score (VCSS) to evaluate response to treatment and changes in disease severity over time.
- #1 Venous eczema and chronic venous disease | The BMJhttps://www.bmj.com/content/382/bmj-2022-074602
Venous eczema is a common inflammatory dermatosis of the lower extremities, occurring in patients with chronic venous disease. It occurs secondary to chronic inflammation, which arises from venous hypertension and a failure of the venous pump, obstructed venous flow, and dysfunctional venous valves, with reflux of blood from deep into now high pressure superficial venous systems. Symptoms of venous eczema vary according to chronicity. Initial presentation can be highly variable and overlap with symptoms of chronic venous disease, including lower extremity heaviness, aching, swelling, itching, and discomfort. […] Comprehensive assessment of venous eczema includes asking about triggers, time course of symptoms, discomfort or pain, complications, and quality of life. […] Effective management is multifaceted, and requires patient engagement and concurrent treatment of contributing lifestyle factors. […] Frameworks such as the revised venous clinical severity score can help categorise and monitor the burden of disease and guide management.
- #1 Diagnosing and treating venous eczema | Nursing Timeshttps://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
Around 10% of people with varicose veins (C2 disease in the CEAP classification) develop C4 skin changes, which can include venous eczema; around 3% of people with venous disease develop a venous ulcer; and between 37% and 44% of those with an active venous ulcer (C6 disease) have venous eczema. […] 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. […] 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.
- #1 Eczema types: Stasis dermatitis overviewhttps://www.aad.org/public/diseases/eczema/types/stasis-dermatitis
While stasis dermatitis is not contagious, it is common. Researchers believe that in the United States, about 15 to 20 million people over 50 years of age live with the disease. […] You may know of stasis dermatitis by another name. Its also called gravitational dermatitis, venous eczema, or varicose eczema. […] If you have venous insufficiency, dermatologists also recommend that you look at the skin on your legs frequently. Stasis dermatitis develops on skin affected by poor blood flow. Not everyone who has venous insufficiency will develop stasis dermatitis, but poor blood flow increases your risk.
- #1 Importance of distinguishing between cellulitis and varicose eczema of the leghttps://pmc.ncbi.nlm.nih.gov/articles/PMC1116023/
Differentiating varicose (gravitational) eczema and cellulitis can help reduce morbidity and the costs of hospital stay and antibiotics. […] Dermatologists often see patients with gravitational (varicose) eczema that has been treated unsuccessfully as cellulitis of the leg on medical or surgical wards. It is important to recognise the difference between these two conditions early. This should reduce morbidity and costs, in terms of the length of stay in hospital and the use of expensive intravenous antibiotics for a condition that is not life threatening and can be cleared with topical steroids in a few days. […] Varicose eczema should always be considered in the differential diagnosis of cellulitis of the leg. Where the diagnosis is uncertain, the patient should be referred immediately to a dermatologist to avoid the unnecessary use of intravenous antibiotics. If a delay in seeing a dermatologist is likely, however, intravenous antibiotics should be started, because cellulitis is a potentially serious problem.
- #1 Bleeding varicose veins and a pustular rash | Medicine Todayhttps://medicinetoday.com.au/dermatology-quiz/bleeding-varicose-veins-and-pustular-rash
Stasis dermatitis. This common condition (also known as varicose eczema) affects the lower limbs of patients with venous insufficiency. The skin is red to brown and may be firm to palpation, with overlying scale. The rash can be intensely pruritic. The case patient described above does have stasis dermatitis, but it is acutely exacerbated by a different skin disorder. […] Microscopy and fungal culture are necessary for a diagnosis of tinea corporis because fungal infections frequently mimic many other skin conditions associated with scale, erythema and pustules. […] However, tinea should always be considered in the differential diagnosis of a persistent pustular eruption, particularly when the result of bacterial culture is negative and there is no response to antibiotic therapy.
- #1 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearchhttps://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. […] Varicose eczema’s primary cause is increased pressure in the veins of the lower legs, often due to varicose veins or a history of deep vein thrombosis. This contrasts with other forms of eczema, which various factors can trigger. […] Varicose eczema tends to affect older adults, with a higher prevalence in those over 50 and is more common in women. This contrasts with atopic dermatitis, which usually starts in childhood and affects both genders equally.
- #1 Venous eczema and lipodermatosclerosis common in venous insufficiency | MDedgehttps://mdedge.com/edermatologynews/article/77107/psoriasis/venous-eczema-and-lipodermatosclerosis-common-venous
Venous eczema and lipodermatosclerosis should be considered in patients with painful dermatitis or pruritic erythematous eruptions on their lower extremities, especially if there are other signs of venous insufficiency, according to Dr. Laurel M. Morton and Dr. Tania J. Phillips. […] There are few data on the prevalence of venous eczema and lipodermatosclerosis, or even for chronic venous disease in general, the researchers noted. However, they suggested that as many as 17% of men and 40% of women suffer from chronic venous insufficiency, and of the 23% of Americans with varicose veins, 2 million will develop skin changes. […] As venous eczema and lipodermatosclerosis are caused by venous insufficiency, the authors argue that compression should be the first line of treatment.
- #1 Everything you need to know about stasis dermatisishttps://www.topdoctors.co.uk/medical-articles/everything-you-need-to-know-about-varicose-ezcema
Varicose eczema (or stasis dermatitis) is a fairly common inflammatory skin disease which appears on the lower limbs and is a symptom of poor blood circulation (chronic venous insufficiency). It usually appears in middle-aged and older people and can lead to venous ulcers, as well as hardening and discolouration of the skin. […] Poor blood circulation is often related to age. Problems in the veins cause venous tension in the lower limbs, producing inflammation (varicose eczema). Inflammation is caused by the decrease in oxygen in the area that can cause skin damage. […] In many cases, before dermatitis appears, there is oedema (a build up of fluid) in the legs. There are risk factors which increase the likelihood of oedema such as congestive heart failure or arterial hypertension. If these conditions are treated, the chances of stasis dermatitis developing are decreased.
- #1 Contact sensitization in venous eczema: Preliminary results of patch testing with Indian standard series and topical medicaments – Indian Journal of Dermatology, Venereology and Leprologyhttps://ijdvl.com/contact-sensitization-in-venous-eczema-preliminary-results-of-patch-testing-with-indian-standard-series-and-topical-medicaments/
Venous eczema (synonyms: stasis dermatitis, gravitational eczema) secondary to venous hypertension is a common condition that usually presents as eczematous lesions around the ankles and lower legs. […] Allergic contact dermatitis due to topically applied medicaments is a common complication of venous eczema, with an estimated incidence of contact sensitization as high as 40-90%. […] The risk of developing stasis dermatitis increases with each passing decade owing to the presence of chronic skin disorders like stasis eczema, asteatotic eczema and leg ulcers requiring long-term topical therapy that may cause contact sensitivity, and its reported prevalence in adults older than 70 years exceeds 20%. […] Allergy to components of topical preparations is common in patients of chronic dermatitis and leg ulcers that often complicates and prolongs the treatment. The reported prevalence of contact sensitivity in these patients is 57.8-71.5%.
- #1 Contact sensitization in venous eczema: Preliminary results of patch testing with Indian standard series and topical medicaments – Indian Journal of Dermatology, Venereology and Leprologyhttps://ijdvl.com/contact-sensitization-in-venous-eczema-preliminary-results-of-patch-testing-with-indian-standard-series-and-topical-medicaments/
The real incidence of contact dermatitis in stasis dermatitis perhaps lies between 50 and 60% if all patients of venous eczema are patch tested. […] Contact sensitization to active drugs or to their constituents is a continuously operating factor and is one of the factors responsible for the chronicity and deterioration in stasis dermatitis. Patch test should be used to identify the topical agents that may be responsible for perpetuation or aggravation of eczema, especially in patients who do not improve despite adequate treatment of other underlying cause(s).
- #1 Varicose Eczema Treatment Market â Global Market â Industry Trends and Forecast to 2028 | Data Bridge Market Researchhttps://www.databridgemarketresearch.com/reports/global-varicose-eczema-treatment-market?srsltid=AfmBOoo5qcrGky4iJrMPYKXzNJg3mitPhSbc0ZrKZ2xSjxBcGmaYanFK
Varicose eczema treatment market is expected to gain market growth in the forecast period of 2021-2028. […] Rise in the prevalence of varicose eczema and growing incidences of high blood pressure, obesity, congestive heart diseases and kidney failure are the major drivers influencing the market growth. […] Varicose eczema is type of dermatological disorder which develops on the lower legs and causes skin mutations. […] This varicose eczema treatment market report provides details of new recent developments, trade regulations, import export analysis, production analysis, value chain optimization, market share, impact of domestic and localized market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market.
- #1 How To Reduce Symptoms of Venous Stasis Dermatitis? | Center for Vascular Medicinehttps://www.cvmus.com/blog/how-reduce-symptoms-venous-stasis-dermatitis
Studies show that it is a disease of old age, particularly among people above 50. […] People who sit or stand for prolonged periods without much exercise are at a higher risk of developing varicose veins and venous eczema. […] Individuals with varicose veins and deep venous thrombosis are prone to developing chronic venous insufficiency and dermatitis.
- #1 Varicose eczema | nidirecthttps://www.nidirect.gov.uk/conditions/varicose-eczema
Varicose eczema is usually caused by increased pressure in the leg veins. […] Varicose eczema is more common in people with varicose veins. […] Your GP will also ask you questions to find out whether you have a problem with the flow of blood in your leg veins, as this is the main cause of varicose eczema. […] There are also certain factors that increase the chances of developing the condition. These include: gender varicose eczema is more common in women, obesity this can increase the pressure in your leg veins, pregnancy this can also increase the pressure in your leg veins, not being able to move for a long period of time this can affect the circulation in your leg veins, having previously had deep vein thrombosis (DVT) blood clots that develop in leg veins, which can damage the valves in your veins, increasing age people generally find it harder to move about as they get older, which can affect their circulation.
- #1 Are You Sure Itâs Not Varicose Eczema?https://www.arlingtonveininstitute.com/post/are-you-sure-it-s-not-varicose-eczema
Many people experience persistent itching, redness, or dry skin on their lower legs and assume its just a rash or dry skin. However, if these symptoms are accompanied by swelling, skin discoloration, or even open sores, you may actually be dealing with varicose eczema, also known as stasis dermatitis. This condition is often a sign of underlying vein disease and requires proper diagnosis and treatment. […] Varicose eczema most commonly affects individuals who have: Varicose veins or a history of vein problems, a sedentary lifestyle or prolonged standing, a history of deep vein thrombosis (DVT), obesity or conditions that affect circulation. […] Many people dismiss varicose eczema as a simple skin condition, but it is a warning sign of underlying venous insufficiency. If left untreated, it can progress to more severe complications such as venous ulcers, which are difficult to heal and can significantly impact your quality of life.
- #1 Varicose Eczema Treatment Market â Global Market â Industry Trends and Forecast to 2028 | Data Bridge Market Researchhttps://www.databridgemarketresearch.com/reports/global-varicose-eczema-treatment-market?srsltid=AfmBOoo5qcrGky4iJrMPYKXzNJg3mitPhSbc0ZrKZ2xSjxBcGmaYanFK
The country section of the report also provides individual market impacting factors and changes in regulations in the market domestically that impacts the current and future trends of the market. […] Varicose eczema treatment market also provides you with detailed market analysis for patient analysis, prognosis and cures. Prevalence, incidence, mortality, adherence rates are some of the data variables that are available in the report.
- #1 Varicose Eczema | Whatâs Varicose Eczema & How Is It Treated?https://www.theindependentpharmacy.co.uk/eczema-dermatitis/guides/what-is-varicose-eczema
Varicose eczema can cause your legs to swell up, leading to swollen and enlarged veins. […] If you think youre developing varicose eczema, you should get treatment as soon as possible. […] There are four main treatment types for varicose eczema: self-help, compression stockings, emollients and topical corticosteroids. […] Compression stockings are tights you wear every day that are designed to help improve your circulation. […] If youre looking for an effective way to relieve symptoms, compression stockings could help with your varicose eczema. […] The NHS recommends you apply emollients to your skin twice a day when you have varicose eczema, even if youre not experiencing any symptoms. […] Topical corticosteroids (topical steroid creams) are effective at treating flare-ups of varicose eczema. […] Over-the-counter treatments (creams, oils and ointments) can be effective at treating mild cases of varicose eczema.
- #1 Recognizing and Treating Venous Eczema | Elmore Medicalhttps://elmoremedical.com/blog/recognizing-and-treating-venous-eczema
Venous eczema, also known as venous stasis dermatitis, is a chronic skin condition that typically affects the lower legs due to poor blood circulation in people with underlying venous insufficiency. […] Chronic venous insufficiency is the failure of veins to effectively return blood to the heart. […] Venous eczema primarily affects individuals with risk factors related to poor circulation. […] Addressing the underlying venous insufficiency is crucial for long-term management of venous eczema. […] Sclerotherapy is often used to treat varicose veins and chronic venous insufficiency, in order to alleviate the symptoms of venous eczema. […] In addition to visiting a dermatologist, patients with venous eczema need to see a vein specialist who can assess venous circulation and recommend treatments to address the underlying venous insufficiency.
- #1 Everything you need to know about stasis dermatisishttps://www.topdoctors.co.uk/medical-articles/everything-you-need-to-know-about-varicose-ezcema
Normally, no complementary tests are used to diagnose varicose eczema. A test such as Doppler ultrasound to study the deep venous system may be performed to rule out processes such as thrombosis. […] Treatment consists of reducing or limiting venous insufficiency with compression therapies. Such compression may be effected with the use of compression stockings or more sophisticated methods such as boots specifically designed for the purpose. It is very important the patient understands the importance of compression, as it significantly reduces the healing time. To control stasis dermatitis or eczema, topical corticosteroids are used, the strength and dosage must be decided by the specialist, who will study the risk-benefit balance and recommend the most appropriate treatment.
- #1 Varicose Eczema: Symptoms, Diagnosis, Treatment, and Morehttps://www.healthline.com/health/eczema/varicose-eczema
Varicose eczema treatment aims to ease your skin conditions and boost blood flow. These may include corticosteroid creams on a short-term basis to quell inflamed skin, wet dressings soaked in a special solution to treat weeping eczema, compression garments like graduated compression stockings or an Unna boot with zinc-oxide dressing built in to boost blood flow and lessen the pressure in your veins, topical antibiotic if your limbs develops an infection, systemic therapy, such as flavonoids like hesperidin; horse chestnut seed extract, or pentoxifylline to improve blood flow, ablation therapy to treat venous insufficiency and varicose veins. […] Varicose eczema is a skin condition that you may have for life, but treatments may help you manage your symptoms and keep them from getting worse. Treatments for varicose veins like ablative therapy may also cure varicose eczema.
- #1 Venous eczema – BAD Patient Hubhttps://www.skinhealthinfo.org.uk/condition/venous-eczema/
Venous eczema is also known as varicose or stasis eczema and is the name given to a type of eczema on the lower leg. Venous eczema is more common as people get older and occurs more often in women than in men. […] Venous eczema occurs when valves in the leg veins do not work properly, reducing drainage of blood from the legs. This leads to an increase in the pressure inside the leg veins. […] Venous eczema occurs on the lower legs. The features vary depending on the severity and range from changes in skin colouring and dryness of the skin to areas of inflamed eczema with red spots, scaling, weeping and/or crusting. […] It is usually a clinical diagnosis, based on its typical appearance and associated features. […] Unfortunately, the problem of the valves in the veins not working properly cannot be cured; this means that venous eczema does not clear up completely if left untreated.
- #1 Varicose eczema – National Eczema Societyhttps://eczema.org/information-and-advice/types-of-eczema/varicose-eczema/
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 is more common in women than in men since female hormones and pregnancy increase the risk of developing the condition. […] Varicose eczema manifests as itchy, dry, flaky areas of skin. […] Skin affected by varicose eczema is thin and unhealthy and can easily break down as soon as this happens, the area should be treated to help the skin heal quickly. […] Varicose eczema can occur years later. […] There are a number of treatments available to help keep your skin supple and prevent ulcers. […] This type of eczema can be an ongoing problem. […] Preventative measures are very important and should be continued long-term.
- #1 Venous eczema, gravitational eczemahttps://dermnetnz.org/topics/venous-eczema
Venous eczema is most often seen in middle-aged and older patients it is reported to affect 20% of those over 70 years. […] Varicose veins may develop again after an apparently successful operation because venous disease is progressive. […] 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.
- #1 The Worrying Link Between Varicose Veins and Eczema – Vein & Vascular Institutehttps://www.veinvascular.com/vein/the-worrying-link-between-varicose-veins-and-eczema/
Varicose eczema typically begins on the ankles. Itâs characterized by: […] Left untreated, varicose eczema could lead to open, oozing ulcers and infection. Most worrisome, varicose veins put you at higher risk of eczema because the two conditions result from poor circulation in the legs. […] Both conditions â varicose veins and varicose eczema â fall under the broad category of venous insufficiency. […] Unfortunately, varicose eczema recurs if the source of the condition (such as varicose veins) isnât treated. […] The best way to prevent varicose eczema is by treating your varicose veins. Eliminating the underlying cause of your venous insufficiency greatly lessens the risk of developing dry, patchy skin that could lead to ulcers.
- #2https://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 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. […] Varicose eczema is more common in women. […] 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.
- #2 Varicose eczema – National Eczema Societyhttps://eczema.org/information-and-advice/types-of-eczema/varicose-eczema/
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 is more common in women than in men since female hormones and pregnancy increase the risk of developing the condition. […] Varicose eczema manifests as itchy, dry, flaky areas of skin. […] Skin affected by varicose eczema is thin and unhealthy and can easily break down as soon as this happens, the area should be treated to help the skin heal quickly. […] Varicose eczema can occur years later. […] There are a number of treatments available to help keep your skin supple and prevent ulcers. […] This type of eczema can be an ongoing problem. […] Preventative measures are very important and should be continued long-term.
- #2https://link.springer.com/article/10.1007/s13555-023-00908-0
Stasis dermatitis (SD), also known as venous dermatitis, is a form of inflammatory dermatitis of the lower extremities that typically occurs in older individuals and represents a cutaneous manifestation of venous hypertension. […] Estimates of the prevalence of chronic venous insufficiency vary widely depending on the characteristics of the populations examined. Approximately 26 million individuals in the USA have advanced forms of chronic venous insufficiency. […] In one study, SD was observed in 1.4% of individuals with varicose veins aged 15 years or more. […] SD is more prevalent in older individuals and was found in 6.2% of individuals aged 65 years or more. […] Results from similar studies indicated that SD was found in 5.9% of individuals with a mean age of 74 years (range 50-91 years) and in 6.9% of those with a mean age of 80 years (range 55-106 years).
- #2https://link.springer.com/article/10.1007/s40257-022-00753-5
Chronic venous disease, including chronic venous insufficiency, is a common disease that increases with age and is more prevalent in women. Estimates for the prevalence of chronic venous insufficiency vary widely, highlighting a knowledge gap in the extant epidemiological data, with the observed numbers often depending on the clinical characteristics and lifestyles of the populations examined. Geographically, the highest reported prevalence of chronic venous insufficiency is across Western countries, ranging from 1 to 40% in women and from 1 to 17% in men. A Saudi Arabian study estimated the overall prevalence of chronic venous insufficiency as about 45.6%. A Scottish study found the age-adjusted prevalence of chronic venous insufficiency to be 9% in men and 7% in women, with the prevalence increasing with age. In a cross-sectional study of chronic venous insufficiency in patients in 24 cities in Italy, only 22.7% of approximately 5200 adult participants demonstrated no visible signs of the disease. It is estimated that between 2 and 6 million individuals in the United States have advanced forms of chronic venous insufficiency, including swelling and skin changes, with about 500,000 individuals displaying painful venous ulcers. Approximately 37-44% of individuals with leg ulcers had been diagnosed with SD. SD is an advanced cutaneous presentation of chronic venous insufficiency that is more common in older patients; age is positively correlated with the number of insufficient venous segments. In one study, SD was identified in 1.4% of 773 individuals aged 15 years who had varicose veins. In another study, SD was found in 6.2% of 4099 individuals aged 65 years. Similar studies have found an SD prevalence of 5.9% in 68 individuals with a mean age of 74 years (range 50-91), increasing to 6.9% in 584 individuals with a mean age of 80 years (range 55-106). With the increasing age of the US population, rising rates of obesity, and more sedentary lifestyles, the prevalence of chronic venous insufficiency (and, consequently, SD) is expected to increase.
- #2 Varicose eczema | NHS informhttps://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 is 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 aren’t working properly. […] Varicose eczema is usually caused by increased pressure in your leg veins. […] It is thought that varicose eczema may develop as a result of your immune system reacting to these fluids in the tissues under your skin. […] It is not fully understood why the walls of the veins stretch and the valves weaken. […] Varicose eczema is more common in women. […] Your 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. […] You may be referred to a specialist in a local hospital for further tests. […] 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.
- #2 Varicose Veins: Diagnosis and Treatment | AAFPhttps://www.aafp.org/pubs/afp/issues/2019/0601/p682.html
Varicose veins are common on the lower extremities, with widely varying estimates of prevalence. A recent study found that telangiectasias occur in 43% of men and 55% of women, and varicose veins occur in 16% of men and 29% of women. In a population with a mean age of 60 years, the prevalence of CEAP classification C0 to C6 is 29%, 29%, 23%, 10%, 9%, 1.5%, and 0.5%, respectively. […] Venous disease resulting in valvular reflux appears to be the underlying cause of varicose veins. The exact pathophysiology is debated, but it involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. In most cases, the valvular dysfunction is presumed to be caused by a loss of elasticity in the vein wall, with failure of the valve leaflets to fit together.
- #2 Varicose eczema | nidirecthttps://www.nidirect.gov.uk/conditions/varicose-eczema
Varicose eczema is usually caused by increased pressure in the leg veins. […] Varicose eczema is more common in people with varicose veins. […] Your GP will also ask you questions to find out whether you have a problem with the flow of blood in your leg veins, as this is the main cause of varicose eczema. […] There are also certain factors that increase the chances of developing the condition. These include: gender varicose eczema is more common in women, obesity this can increase the pressure in your leg veins, pregnancy this can also increase the pressure in your leg veins, not being able to move for a long period of time this can affect the circulation in your leg veins, having previously had deep vein thrombosis (DVT) blood clots that develop in leg veins, which can damage the valves in your veins, increasing age people generally find it harder to move about as they get older, which can affect their circulation.
- #2 Varicose Eczema: Symptoms, Diagnosis, Treatment, and Morehttps://www.healthline.com/health/eczema/varicose-eczema
Varicose eczema affects blood flow through your limbs and causes a range of skin conditions, most often in your lower legs. Left untreated, it can lead to severe complications. […] Varicose eczema often appears in the advanced stages of chronic venous insufficiency (CVI). About 2.5 to 6 million people in the United States have advanced forms of CVI. […] Varicose eczema occurs most often in middle-aged and older adults, often from the mid-60s to 70s. Older age along with having varicose veins increases your risk of developing varicose eczema. […] Current or past health conditions can also elevate your risk. These include conditions that affect blood flow or your limbs, such as high blood pressure, phlebitis or inflamed veins, cellulitis, deep vein thrombosis, leg surgery, heart failure, kidney disease or kidney failure, swelling of your lower leg that persists.
- #2 Varicose and Leg Eczema: Effective Treatments & Prevention Tipshttps://www.dexeryl.com/en/your-skin/atopic-dermatitis/eczema-body/eczema-leg-and-varicose
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.
- #2 Key Differences Between Varicose Eczema vs. Other Eczemas – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearchhttps://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. […] Varicose eczema’s primary cause is increased pressure in the veins of the lower legs, often due to varicose veins or a history of deep vein thrombosis. This contrasts with other forms of eczema, which various factors can trigger. […] Varicose eczema tends to affect older adults, with a higher prevalence in those over 50 and is more common in women. This contrasts with atopic dermatitis, which usually starts in childhood and affects both genders equally.
- #2 Are You Sure Itâs Not Varicose Eczema?https://www.arlingtonveininstitute.com/post/are-you-sure-it-s-not-varicose-eczema
Many people experience persistent itching, redness, or dry skin on their lower legs and assume its just a rash or dry skin. However, if these symptoms are accompanied by swelling, skin discoloration, or even open sores, you may actually be dealing with varicose eczema, also known as stasis dermatitis. This condition is often a sign of underlying vein disease and requires proper diagnosis and treatment. […] Varicose eczema most commonly affects individuals who have: Varicose veins or a history of vein problems, a sedentary lifestyle or prolonged standing, a history of deep vein thrombosis (DVT), obesity or conditions that affect circulation. […] Many people dismiss varicose eczema as a simple skin condition, but it is a warning sign of underlying venous insufficiency. If left untreated, it can progress to more severe complications such as venous ulcers, which are difficult to heal and can significantly impact your quality of life.
- #2 How To Reduce Symptoms of Venous Stasis Dermatitis? | Center for Vascular Medicinehttps://www.cvmus.com/blog/how-reduce-symptoms-venous-stasis-dermatitis
Studies show that it is a disease of old age, particularly among people above 50. […] People who sit or stand for prolonged periods without much exercise are at a higher risk of developing varicose veins and venous eczema. […] Individuals with varicose veins and deep venous thrombosis are prone to developing chronic venous insufficiency and dermatitis.
- #2 Varicose Eczema and Stasis Dermatitis: Symptoms and Causeshttps://www.centerforvein.com/blog/varicose-eczema-and-stasis-dermatitis-symptoms-and-causes
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. […] People over 70 who struggle with varicose veins or deep vein thrombosis or who have had varicose vein surgery in the past have the highest risk of developing venous stasis dermatitis. It is also more likely to occur in women. […] Varicose eczema is usually caused by increased blood pressure in the veins due to damaged vein valves. […] Other risk factors making venous stasis dermatitis more likely include varicose veins, kidney failure, multiple pregnancies, being significantly overweight, high blood pressure, past surgeries or an injury to the affected area, heart conditions such as congestive heart failure, blood clots, especially in the leg, regularly going long periods of sitting or standing, and lack of exercise. […] While no cure exists for stasis dermatitis, early treatment, and certain preventative measures can keep the condition from worsening.
- #2 Diagnosing and treating venous eczema | Nursing Timeshttps://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
Around 10% of people with varicose veins (C2 disease in the CEAP classification) develop C4 skin changes, which can include venous eczema; around 3% of people with venous disease develop a venous ulcer; and between 37% and 44% of those with an active venous ulcer (C6 disease) have venous eczema. […] 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. […] 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.
- #2 Diagnosing and treating venous eczema | Nursing Timeshttps://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. Venous eczema, a non-infectious inflammatory skin condition involving the lower legs, is thought to affect 20% of those aged 70 and over. Its prevalence is rising due to an ageing population and an increase in the number of obese people, who are at risk of venous disease. Venous eczema is common in older people and thought to affect 20% of those aged 70 and over. It is a result of venous disease, which affects around 33% of adults. Venous disease can have a negative impact on quality of life and, if not well managed, can lead to venous eczema, infection and ulceration. […] The condition is part of a continuum of venous diseases that can be classified according to the Clinical Etiological Anatomical Pathological (CEAP) classification shown in Table 1. The CEAP classification is used to determine the level and severity of venous disease. It can be used in conjunction with the Venous Clinical Severity Score (VCSS) to evaluate response to treatment and changes in disease severity over time.
- #2 Varicose veinshttps://dermnetnz.org/topics/varicose-veins
Approximately one-third of men and women aged 1864 years have varicose veins. They are more common in women and those with a family history of venous disease. […] Venous stasis dermatitis is associated with increased venous pressure and pro-inflammatory molecules. Patients present with brown discolouration, pruritus, and discoid or circumferential, acute or chronic eczema on the distal lower limbs. […] The UK’s National Institute for Health and Care Excellence (NICE) uses the ClinicalEtiologicalAnatomicalPathophysiological (CEAP) classification of varicose veins. […] Varicose veins may recur and can usually be treated again.
- #2 Varicose Eczema Treatment Market â Global Market â Industry Trends and Forecast to 2028 | Data Bridge Market Researchhttps://www.databridgemarketresearch.com/reports/global-varicose-eczema-treatment-market?srsltid=AfmBOoo5qcrGky4iJrMPYKXzNJg3mitPhSbc0ZrKZ2xSjxBcGmaYanFK
The country section of the report also provides individual market impacting factors and changes in regulations in the market domestically that impacts the current and future trends of the market. […] Varicose eczema treatment market also provides you with detailed market analysis for patient analysis, prognosis and cures. Prevalence, incidence, mortality, adherence rates are some of the data variables that are available in the report.
- #2 Importance of distinguishing between cellulitis and varicose eczema of the leghttps://pmc.ncbi.nlm.nih.gov/articles/PMC1116023/
Differentiating varicose (gravitational) eczema and cellulitis can help reduce morbidity and the costs of hospital stay and antibiotics. […] Dermatologists often see patients with gravitational (varicose) eczema that has been treated unsuccessfully as cellulitis of the leg on medical or surgical wards. It is important to recognise the difference between these two conditions early. This should reduce morbidity and costs, in terms of the length of stay in hospital and the use of expensive intravenous antibiotics for a condition that is not life threatening and can be cleared with topical steroids in a few days. […] Varicose eczema should always be considered in the differential diagnosis of cellulitis of the leg. Where the diagnosis is uncertain, the patient should be referred immediately to a dermatologist to avoid the unnecessary use of intravenous antibiotics. If a delay in seeing a dermatologist is likely, however, intravenous antibiotics should be started, because cellulitis is a potentially serious problem.
- #2 Stasis Dermatitis: Practice Essentials, Etiology, Epidemiologyhttps://emedicine.medscape.com/article/1084813-overview
A slight female preponderance has been reported in stasis dermatitis. This is most likely due to the fact that pregnancy results in significant stress on the lower-extremity venous system, with many women experiencing earlier and more severe derangement of lower-extremity valvular function. The risk of developing stasis dermatitis steadily increases with each passing decade; when considering only adults older than 70 years, the prevalence of stasis dermatitis may be greater than 20%. The well-publicized aging of the population will undoubtedly result in a significant increase in cases of stasis dermatitis over the next few decades.
- #2 Dermatitis, Stasis | 5-Minute Clinical Consulthttps://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/1688763/0.2/Dermatitis_Stasis
Chronic, eczematous, scaling, erythematous plaques, and patches to the lower extremities accompanied by cycle of scratching, excoriations, weeping, crusting, and inflammation in patients with chronic venous insufficiency (CVI) and edema; clinical skin manifestation of CVI usually appears late in the disease; may present as a solitary lesion most often starting on medial ankle; can be associated with venous leg ulcers on bony prominences. […] In the United States: common in patients aged 50 years (67%); predominant age: adult, geriatric; predominant sex: female male. […] Common in this age group: estimated to affect 15 to 20 million patients aged 50 years in the United States.
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- #3 Venous eczema, gravitational eczemahttps://dermnetnz.org/topics/venous-eczema
Venous eczema is most often seen in middle-aged and older patients it is reported to affect 20% of those over 70 years. […] Varicose veins may develop again after an apparently successful operation because venous disease is progressive. […] 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.
- #3 Varicose eczema or stasis dermatitis: Symptoms, causes, and treatmenthttps://www.medicalnewstoday.com/articles/182793
Estimates suggest that 6 to 7 million people in the United States have poor circulation in the legs, known as venous insufficiency. Every year, about 150,000 people receive a new diagnosis of the condition. […] According to the National Eczema Association (NEA), varicose eczema is more common in females than in males and tends to affect people over the age of 50. The NEA also reports that varicose eczema affects roughly 70% of people over the age of 70. […] A 2020 study looked at the incidence of chronic venous insufficiency, which can lead to varicose eczema. In this study, which involved 66,621 people, mild chronic venous insufficiency affected up to 55% of white people and 28% of Hispanic people. More severe symptoms occurred in up to 61% of white people and 21% of African American people. […] Research also suggests that chronic venous insufficiency appears to be less common in non-Western countries.