Żylakiowe zapalenie skóry
Leczenie

Żylakowe zapalenie skóry (eczema varicosum) to przewlekła dermatoza dolnych partii kończyn dolnych, często powiązana z przewlekłą niewydolnością żylną i żylakami. Leczenie opiera się na kompleksowej terapii obejmującej modyfikację stylu życia (regularna aktywność fizyczna, unoszenie nóg powyżej poziomu serca przez 15 minut co 2 godziny, unikanie długotrwałego stania/siedzenia, utrzymanie prawidłowej masy ciała), stosowanie emolientów co najmniej 2 razy dziennie (preferowane preparaty na bazie wosku pszczelego lub zawierające mocznik w przypadku bardzo suchej skóry) oraz miejscowych kortykosteroidów o umiarkowanej lub silnej mocy w okresach zaostrzeń. Kluczową rolę odgrywają również medyczne pończochy kompresyjne o średniej kompresji, które poprawiają hemodynamikę żylną, zmniejszają obrzęk i zapobiegają powikłaniom, takim jak owrzodzenia żylne. W przypadku wtórnych zakażeń bakteryjnych wskazane jest stosowanie doustnych antybiotyków (np. flukloksacylina) oraz miejscowych środków wysuszających (roztwór nadmanganianu potasu, płyn Castellaniego).

Leczenie żylakowego zapalenia skóry

Żylakowe zapalenie skóry (łac. eczema varicosum) to przewlekła choroba skóry, która dotyka dolne partie nóg, występująca głównie u osób starszych oraz u pacjentów z żylakami. Leczenie tego schorzenia ma na celu poprawę stanu skóry, łagodzenie objawów oraz poprawę krążenia krwi w nogach. Dla większości pacjentów terapia wiąże się z długotrwałym stosowaniem kombinacji różnych metod leczniczych.12

Metody samopomocowe

Jednym z kluczowych elementów leczenia żylakowego zapalenia skóry jest wprowadzenie zmian w codziennym życiu, które mogą znacząco poprawić krążenie krwi w nogach:3

  • Regularna aktywność fizyczna – spacery i ćwiczenia stymulujące pracę mięśni łydek, które działają jak pompa wspomagająca przepływ krwi45
  • Unoszenie nóg powyżej poziomu serca przez 15 minut co 2 godziny w ciągu dnia6
  • Unikanie długotrwałego stania lub siedzenia w jednej pozycji7
  • Podwyższanie nóg podczas snu przez ułożenie ich na poduszkach8
  • Utrzymywanie prawidłowej masy ciała9

Emolienty

Emolienty (substancje nawilżające) to podstawowy element leczenia miejscowego żylakowego zapalenia skóry. Są to preparaty aplikowane bezpośrednio na skórę w celu zmniejszenia utraty wody i utworzenia warstwy ochronnej.1011

W przypadku żylakowego zapalenia skóry zaleca się:1213

  • Stosowanie emolientów co najmniej 2 razy dziennie, nawet jeśli nie występują objawy
  • Szczególnie ważne jest kontynuowanie aplikacji emolientów podczas zaostrzenia choroby, gdy skóra potrzebuje największego nawilżenia
  • Nakładanie preparatów delikatnymi, gładkimi ruchami w dół, tak aby skóra lśniła
  • Stosowanie emolientów zaraz po kąpieli, gdy skóra jest jeszcze wilgotna14

Najlepsze rezultaty osiąga się stosując preparaty na bazie wosku pszczelego, które w przeciwieństwie do tych na bazie parafiny pozwalają skórze oddychać, dostarczają składników odżywczych i mają naturalne właściwości antybakteryjne.15 W przypadku bardzo suchej, łuszczącej się skóry korzystne mogą być preparaty zawierające mocznik.16

Miejscowe kortykosteroidy

Jeśli skóra jest zapalnie zmieniona podczas zaostrzenia żylakowego zapalenia skóry, lekarz może przepisać miejscowe kortykosteroidy, które aplikuje się bezpośrednio na zmienioną chorobowo skórę.1718

Zasady stosowania miejscowych kortykosteroidów:1920

  • Preparaty o umiarkowanej lub silnej mocy stosuje się krótkoterminowo do szybkiego zmniejszenia stanu zapalnego
  • Aplikować wyłącznie na obszary aktywnego zapalenia skóry
  • Nigdy nie stosować kremów lub maści przepisanych innej osobie
  • Używać najsłabszego preparatu, który kontroluje objawy, z okresami bez steroidu, aby zmniejszyć ryzyko zaniku skóry
  • W przypadku uporczywych zmian skuteczne może być zastosowanie silnego lub bardzo silnego steroidu miejscowego (np. Betnovate-C maść) pod opatrunkami leczniczymi

W przypadku długotrwałej terapii, gdy zapalenie się ustabilizuje, można rozważyć zastosowanie miejscowych inhibitorów kalcyneuryny, takich jak Tacrolimus 0,1% (Protopic 0,1% maść).2122

Pończochy kompresyjne

Medyczne pończochy kompresyjne są kluczowym elementem leczenia żylakowego zapalenia skóry. Są one specjalnie zaprojektowane, aby stopniowo uciskać nogi – najsilniej w okolicy stopy i kostki, a słabiej w kierunku uda, co wspomaga przepływ krwi w górę w kierunku serca.2324

Korzyści ze stosowania pończoch kompresyjnych:2526

  • Poprawa przepływu krwi przez żyły nóg
  • Zmniejszenie ciśnienia w żyłach
  • Redukcja obrzęku
  • Zapobieganie powstawaniu owrzodzeń

Pończochy kompresyjne są dostępne w różnych materiałach i klasach kompresji (lekka, średnia, silna). Dla przeciętnego pacjenta odpowiednia jest średnia kompresja, ale jeśli jest ona niekomfortowa, lekarz może przepisać kompresję lekką.27 Kompresję należy stosować podczas dnia, a szczególnie polecana jest podczas długotrwałego stania, siedzenia lub podróży.28 Pończochy kompresyjne powinny być wymieniane co 3-6 miesięcy.29

Leczenie zakażeń wtórnych

Skóra dotknięta żylakowym zapaleniem jest bardziej podatna na wtórne zakażenia bakteryjne. W przypadku ich wystąpienia mogą być konieczne następujące interwencje:3031

  • Doustne antybiotyki (np. flukloksacylina) w przypadku zakażenia wtórnego
  • Wysuszanie sączących zmian za pomocą roztworu nadmanganianu potasu (płyn Castellaniego) lub rozcieńczonego octu na gazie jako kompresy
  • Specjalne opatrunki, które wymagają regularnej wymiany

W przypadku sączących się zmian można stosować okłady z nadmanganianu potasu, które działają ściągająco i antyseptycznie, wysuszając wysięk.32

Leczenie owrzodzeń żylnych

Nieleczone żylakowe zapalenie skóry może prowadzić do rozwoju owrzodzeń żylnych. Leczenie tych powikłań może obejmować:3334

  • Opatrunki typu Unna boot zawierające tlenek cynku
  • Chirurgiczne oczyszczanie w celu odświeżenia brzegów i dna owrzodzenia
  • Opatrunki z fibryny bogatopłytkowej
  • Kremy z czynnikiem wzrostu naskórka
  • Przeszczepy skóry lub leczenie chirurgiczne pod nadzorem chirurga w ciężkich przypadkach

Leczenie żylaków

W wielu przypadkach żylakowe zapalenie skóry jest związane z chorobą żył, dlatego leczenie podstawowej przyczyny – żylaków – może prowadzić do trwałej poprawy stanu skóry. Pacjenci z żylakami mogą być skierowani do specjalisty naczyniowego (flebologa), który może zaproponować różne metody leczenia:3536

  • Ablacja laserowa – nieinwazyjna procedura zamykania chorych żył za pomocą lasera37
  • Skleroterapia – wstrzyknięcie substancji powodującej zamknięcie i zanikanie żył38
  • Ablacja endowenozna – procedura wykorzystująca energię cieplną (laser lub fale radiowe) do zamknięcia niewydolnych żył39
  • Flebektomia ambulatoryjna – zabieg usuwania żylaków powierzchownych40

Wczesne leczenie żylaków może całkowicie wyleczyć żylakowe zapalenie skóry i przywrócić normalny wygląd skóry. W przypadku znacznego uszkodzenia skóry, skuteczne leczenie żył może złagodzić objawy swędzenia i obrzęku oraz zmniejszyć ryzyko owrzodzeń, chociaż przebarwienia mogą nie ustąpić całkowicie.41

Leki ogólnoustrojowe

W niektórych przypadkach mogą być stosowane leki ogólnoustrojowe, które poprawiają krążenie i łagodzą objawy niewydolności żylnej:4243

  • Pentoksyfilina – lek przeciwpłytkowy, który poprawia krążenie krwi i może zmniejszać ból związany z chorobą
  • Leki wenotoniczne:
  • Mikronizowana oczyszczona frakcja flawonoidowa (MPFF) – lek wenoaktywny składający się z 90% diosminy i 10% innych aktywnych flawonoidów (hesperydyna, diosmetyna, linaryna, izoroifolina)44

Wyciąg z kasztanowca wydaje się przynosić korzyści co najmniej niektórym pacjentom z chorobą żylną.4546

Terapie uzupełniające

Niektórzy pacjenci próbują stosować terapie uzupełniające, takie jak suplementy diety czy ziołowe środki lecznicze do leczenia żylakowego zapalenia skóry, jednak często brakuje dowodów potwierdzających ich skuteczność.47

Preparaty ziołowe stosowane miejscowo mogą powodować reakcje alergiczne i najlepiej ich unikać.48 Należy zawsze konsultować się z lekarzem przed rozpoczęciem jakiejkolwiek terapii uzupełniającej.

Postępowanie w przypadku opornych na leczenie przypadków

Jeśli standardowe leczenie nie przynosi oczekiwanych rezultatów, lekarz może zalecić:4950

W przypadkach opornych na leczenie można rozważyć terapię skojarzoną takrolimusa z doksycykliną, która wykazała obiecujące wyniki w badaniach pilotażowych.51 Dla pacjentów z podejrzeniem nakładającej się infekcji grzybiczej ważne jest zastosowanie miejscowych leków przeciwgrzybiczych w celu leczenia grzybicy stóp i zmniejszenia zaangażowania grzybiczego skóry.52

Zapobieganie nawrotom

Żylakowe zapalenie skóry może nawracać, dlatego ważne jest podejmowanie działań zapobiegawczych:5354

  • Przestrzeganie zaleceń dotyczących codziennej pielęgnacji skóry
  • Regularne stosowanie emolientów
  • Noszenie pończoch kompresyjnych
  • Ochrona skóry przed urazami, które mogą prowadzić do infekcji lub owrzodzeń trudnych do wygojenia
  • Regularna aktywność fizyczna
  • Unikanie długotrwałego stania lub siedzenia
  • Ograniczenie spożycia soli w diecie
  • Noszenie luźnej, bawełnianej odzieży
  • Unikanie substancji drażniących, takich jak trawy, sierść zwierząt, rośliny, produkty zapachowe i środki czyszczące

Należy pamiętać, że choroba żylna ma charakter postępujący, dlatego nawet po pomyślnym zabiegu mogą ponownie rozwinąć się żylaki.55

Podsumowanie leczenia

Skuteczne leczenie żylakowego zapalenia skóry wymaga kompleksowego podejścia, które uwzględnia zarówno podstawową chorobę żylną, jak i zmiany skórne. Terapia obejmuje:5657

  • Stosowanie emolientów do nawilżania i ochrony skóry
  • Miejscowe kortykosteroidy do szybkiego zmniejszenia stanu zapalnego w okresach zaostrzeń
  • Noszenie pończoch kompresyjnych w celu poprawy krążenia
  • Wprowadzenie zmian w stylu życia, takich jak regularna aktywność fizyczna i unoszenie nóg
  • Leczenie chorób żylnych, jeśli są one przyczyną żylakowego zapalenia skóry
  • Stosowanie odpowiednich opatrunków i antybiotyków w przypadku zakażeń lub owrzodzeń

Choć żylakowe zapalenie skóry zwykle ma charakter przewlekły, prawidłowe leczenie może znacząco poprawić komfort życia pacjentów i zapobiec poważnym powikłaniom, takim jak owrzodzenia żylne.58 Wczesna diagnoza i leczenie są kluczowe dla uzyskania najlepszych wyników.59

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.

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

Materiały źródłowe

  • #1
    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). […] For many people, this involves long-term treatment with a combination of self-help techniques, emollients (moisturisers), topical corticosteroids, and compression stockings. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective layer. […] 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.
  • #2 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    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). […] For many people, this will involve long-term treatment with a combination of: emollients (moisturisers); topical corticosteroids; compression stockings.
  • #3
    https://www.nhs.uk/conditions/varicose-eczema/
    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 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 these treatments do not help, a GP may refer you to a skin specialist (dermatologist) in case there’s another cause for your symptoms, or if they’re concerned you may also have contact dermatitis. […] 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.
  • #4 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    What is the treatment for venous eczema? […] Don’t stand for long periods. […] Take regular walks. […] Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively. […] Elevate the foot of your bed overnight. […] During the acute phase of eczema, bandaging is important to reduce swelling. […] When eczema has settled, wear graduated compression socks or stockings long term. Fitted moderate to high compression socks can be obtained from a surgical supplies company. Light compression using travel socks may be adequate, and these are easy to put on. They can be bought at pharmacies, travel and sports stores. More compression is obtained by wearing two pairs. […] Horse chestnut extract appears to be of benefit for at least some patients with venous disease.
  • #5 Varicose Eczema: Treatment Guide for Venous Eczema: Lakeshore Veins
    https://lakeshoreveins.com/complete-varicose-eczema-treatment-guide/
    The 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. […] How is Varicose Eczema Treated? […] Initial management is with conservative care including: […] Maintaining a healthy weight […] Exercise: Walking and while sitting, heel -toe- maneuvers or toe crunches. Any contraction of the calf muscle will propel the blood in the legs toward the heart. The calf muscle pump is important to keep the blood from pooling in the legs. […] 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. We especially recommend compression stockings for periods of prolonged standing, sitting or travel. Compression stockings are not needed at night while sleeping. At night, the feet are elevated to heart level.
  • #6 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.
  • #7 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    What is the treatment for venous eczema? […] Don’t stand for long periods. […] Take regular walks. […] Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively. […] Elevate the foot of your bed overnight. […] During the acute phase of eczema, bandaging is important to reduce swelling. […] When eczema has settled, wear graduated compression socks or stockings long term. Fitted moderate to high compression socks can be obtained from a surgical supplies company. Light compression using travel socks may be adequate, and these are easy to put on. They can be bought at pharmacies, travel and sports stores. More compression is obtained by wearing two pairs. […] Horse chestnut extract appears to be of benefit for at least some patients with venous disease.
  • #8 What is Varicose Eczema? – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/what-is-varicose-eczema/
    Providing general advice is usually the first step in treating this condition. Placing the legs in the highest position possible is extremely important. The typical footstool or pouffe needs to be higher. The feet must be at least as high as the hips and even higher whenever possible. When the legs are in a higher position, the blood flowing up the legs is assisted by gravity. The individual needs to be careful not to injure the skin on anything, including furniture. […] The focus of the treatment is providing the individual with relief from their symptoms. According to the (AAD) American Academy of Dermatology, raising the legs is important. The recommendation is to elevate the legs every two hours for fifteen minutes. While sleeping, the legs should be placed on one or two pillows. […] Compression stockings are also referred to as compression hosiery. The stockings are effective because the pressure is applied outside the veins. The squeezing caused by the stockings pushes the blood back up the legs. This helps decrease the pressure within the veins. The blood can then be prevented from leaking into the surrounding tissues.
  • #9 Varicose Eczema: Treatment Guide for Venous Eczema: Lakeshore Veins
    https://lakeshoreveins.com/complete-varicose-eczema-treatment-guide/
    The 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. […] How is Varicose Eczema Treated? […] Initial management is with conservative care including: […] Maintaining a healthy weight […] Exercise: Walking and while sitting, heel -toe- maneuvers or toe crunches. Any contraction of the calf muscle will propel the blood in the legs toward the heart. The calf muscle pump is important to keep the blood from pooling in the legs. […] 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. We especially recommend compression stockings for periods of prolonged standing, sitting or travel. Compression stockings are not needed at night while sleeping. At night, the feet are elevated to heart level.
  • #10
    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). […] For many people, this involves long-term treatment with a combination of self-help techniques, emollients (moisturisers), topical corticosteroids, and compression stockings. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective layer. […] 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.
  • #11
    https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(varicose)/
    For many people, this involves long-term treatment with a combination of: self-help techniques; emollients (moisturisers); topical corticosteroids; compression stockings. […] If you also have varicose veins, a GP may refer you to a vascular surgeon, who can plan any necessary treatment. Read about treating varicose veins. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. They’re often used to help manage dry or scaly skin conditions such as eczema. […] If you have varicose eczema, you should use an emollient at least twice a day, even if you don’t have any symptoms. […] 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.
  • #12
    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). […] For many people, this involves long-term treatment with a combination of self-help techniques, emollients (moisturisers), topical corticosteroids, and compression stockings. […] Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective layer. […] 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.
  • #13 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. […] 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. […] Keep the skin soft and supple by applying an emollient to your legs at least twice a day, or more often if your skin is very dry (emollients are available on prescription from your doctor or over the counter at a pharmacy). Emollients can be used all over your body if your skin is generally dry. Lightly apply the emollient in smooth downward strokes so that the skin glistens. National Eczema Society has a factsheet on Emollients, which gives more details on the types of emollients available.
  • #14
    https://balmonds.com/blogs/blog/whats-the-best-natural-cream-for-varicose-eczema
    Natural ointments containing nutritious plant-based oils can feed the skin with the nutrients (minerals, vitamins, antioxidants, EFAs) needed to repair and regenerate damaged skin. […] Balmonds Skin Salvation ticks all those boxes! Its had some very positive feedback from customers using it on sores, post-operative scars, ulcers as well as varicose/venous statis dermatitis. […] If you prefer to use a softer, more easily-absorbed cream rather than an ointment, our Daily Moisturising Cream or even lighter Cooling Cream both work very well to soothe the itch and keep skin hydrated. However, we’d always recommend using water-free ointment on broken or raw skin. […] How to apply emollients on varicose eczema: use a large amount all over both lower legs, not just flared areas […] apply at least twice a day, and more frequently if skin is very dry […] don’t rub; smooth emollients into the skin in the same direction that the hair grows […] apply after bathing, gently dry the skin, then immediately apply the emollient while the skin is still moist.
  • #15
    https://balmonds.com/blogs/blog/whats-the-best-natural-cream-for-varicose-eczema
    Ointments likely to stay in place for longer and provide more intensive moisturising than creams […] Oil-based ointments are less likely to sting when applied on broken, scratched or raw patches of skin […] Ointments cover dry or very sensitive skin act to soothe itchiness, preventing further damage from scratching. […] Use a beeswax-based ointment […] Unlike paraffin-based ointments, beeswax allows the skin to breathe […] Beeswax provides nutrients […] Beeswax is naturally antimicrobial, and acts like a natural antiseptic barrier against bacteria or yeasts, protecting against the infections which varicose eczema sufferers are prone to. […] Use a 100% natural ointment […] Go natural and avoid irritants such as perfumes, preservatives, parabens and other artificial additives which can cause further damage to fragile skin
  • #16 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Treat the eczema […] Dry up oozing patches with Condy’s solution (potassium permanganate) or dilute vinegar on gauze as compresses. […] Oral antibiotics such as flucloxacillin may be prescribed for a secondary infection. […] Apply a prescribed topical steroid: start with a potent steroid cream applied accurately daily to the patches until they have flattened out. After a few days, change to a milder steroid cream (eg. hydrocortisone) until the itchy patches have resolved (maintenance treatment). Check with your doctor if you are using steroid creams for more than a few weeks. Overuse can thin the skin, but short courses of stronger preparations can be used from time to time if necessary to control dermatitis. Coal tar ointment may also help. […] Use a moisturising cream frequently to keep the skin on the legs smooth and soft. If the skin is very scaly, urea cream may be especially effective.
  • #17 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    If your skin is inflamed from a flare-up of varicose eczema, your GP may prescribe a topical corticosteroid (corticosteroid medication that is applied directly to your skin in the form of a cream or ointment) to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. They are tightest at the ankle and get gradually looser as they go further up your leg. This encourages blood to flow upwards towards your heart. […] 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.
  • #18
    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 these treatments do not help, your GP may refer you to a dermatologist (skin specialist) or a vascular surgeon. […] Your GP can recommend one for varicose eczema. You may need to try different emollients to find one that works for you. […] 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. You put this directly on your skin. It can quickly reduce inflammation.
  • #19 Varicose eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/varicose-eczema/
    Moderate to potent topical steroids (steroid creams and ointments) are available from your doctor if the eczema is very itchy, but only apply them to areas of active eczema. Never use a cream or ointment prescribed for someone elses 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.
  • #20 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. […] 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. […] 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.
  • #21 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. […] 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. […] 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.
  • #22 Stasis Dermatitis Treatment & Management: Approach Considerations, Compression Therapy, Topical Therapy
    https://emedicine.medscape.com/article/1084813-treatment
    Counseling patients regarding the use of compression therapy is vital to the successful management of stasis dermatitis. […] Topical treatment of stasis dermatitis has much in common with the treatment of other forms of acute eczematous dermatitis. […] The nonsteroidal calcineurin inhibitors tacrolimus and pimecrolimus may prove to be useful tools in the management of stasis dermatitis. […] A single-arm, interventional pilot study by Maroo et al indicated that combination therapy with topical tacrolimus and oral doxycycline may be effective against stasis dermatitis. […] Crisaborole (Eucrisa) is a topical nonsteroidal PDE4 inhibitor approved for treating mild-to-moderate atopic dermatitis (eczema). […] Micronised purified flavonoid fraction (MPFF) is a venoactive drug (VAD) consists of of 90% diosmin and 10% other active flavonoids (hesperidin, diosmetin, linarin and isorhoifolin).
  • #23 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    If your skin is inflamed from a flare-up of varicose eczema, your GP may prescribe a topical corticosteroid (corticosteroid medication that is applied directly to your skin in the form of a cream or ointment) to quickly reduce the inflammation. […] Medical compression stockings are specially designed to steadily squeeze your legs to help improve your circulation. They are tightest at the ankle and get gradually looser as they go further up your leg. This encourages blood to flow upwards towards your heart. […] 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.
  • #24
    https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(varicose)/
    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. This encourages blood to flow upwards towards your heart. […] 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. […] Some people try complementary therapies such as food supplements or herbal remedies to treat varicose eczema, but there is often a lack of evidence to show they are effective in treating the condition.
  • #25
    https://www.nhs.uk/conditions/varicose-eczema/treatment/
    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. […] Compression stockings usually have to be replaced every 3 to 6 months. […] Some people try complementary therapies such as food supplements or herbal remedies to treat varicose eczema, but there is often a lack of evidence to show they are effective in treating the condition.
  • #26
    https://www2.hse.ie/conditions/varicose-eczema/treatment/
    Medical compression stockings help improve your vein function. They’re specially designed to squeeze your legs and improve blood flow to reduce the pressure in the leg veins. […] They’re used to treat varicose eczema by improving the flow of blood through your leg veins. This reduces the pressure in the veins.
  • #27 What is Varicose Eczema? – Vein SolutionsPhoneEmailExpandSearchExpandExpandToggle MenuFacebookInstagramGoogle ReviewsExpandExpandToggle Menu CloseSearch
    https://www.veinsolutions.co.uk/what-is-varicose-eczema/
    Compression stockings are available in different materials. Class one is a light material, class two medium and class three heavy. The average individual can tolerate the medium material. The physician will prescribe a class one if the medium material is uncomfortable. Wearing these stockings is extremely important because they can help prevent serious issues such as ulcers and significantly help circulation. […] Emollients and moisturisers can help decrease dry skin. The general recommendations are a thick, fragrance-free cream or petroleum jelly. The individual can speak with their physician, pharmacist or dermatologist regarding the best options available. The physician may prescribe medications, including a (TCI) topic calcineurin inhibitor or corticosteroid, to decrease pain, redness, swelling and inflammation.
  • #28 Varicose Eczema: Treatment Guide for Venous Eczema: Lakeshore Veins
    https://lakeshoreveins.com/complete-varicose-eczema-treatment-guide/
    The 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. […] How is Varicose Eczema Treated? […] Initial management is with conservative care including: […] Maintaining a healthy weight […] Exercise: Walking and while sitting, heel -toe- maneuvers or toe crunches. Any contraction of the calf muscle will propel the blood in the legs toward the heart. The calf muscle pump is important to keep the blood from pooling in the legs. […] 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. We especially recommend compression stockings for periods of prolonged standing, sitting or travel. Compression stockings are not needed at night while sleeping. At night, the feet are elevated to heart level.
  • #29
    https://www.nhs.uk/conditions/varicose-eczema/treatment/
    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. […] Compression stockings usually have to be replaced every 3 to 6 months. […] Some people try complementary therapies such as food supplements or herbal remedies to treat varicose eczema, but there is often a lack of evidence to show they are effective in treating the condition.
  • #30 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Treat the eczema […] Dry up oozing patches with Condy’s solution (potassium permanganate) or dilute vinegar on gauze as compresses. […] Oral antibiotics such as flucloxacillin may be prescribed for a secondary infection. […] Apply a prescribed topical steroid: start with a potent steroid cream applied accurately daily to the patches until they have flattened out. After a few days, change to a milder steroid cream (eg. hydrocortisone) until the itchy patches have resolved (maintenance treatment). Check with your doctor if you are using steroid creams for more than a few weeks. Overuse can thin the skin, but short courses of stronger preparations can be used from time to time if necessary to control dermatitis. Coal tar ointment may also help. […] Use a moisturising cream frequently to keep the skin on the legs smooth and soft. If the skin is very scaly, urea cream may be especially effective.
  • #31 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.
  • #32 Diagnosing and treating venous eczema | Nursing Times
    https://www.nursingtimes.net/dermatology/diagnosing-and-treating-venous-eczema-30-11-2016/
    Chronic eczema causes skin changes, such as dryness, thickening, scaling and cracking. The thickening of the stratum corneum (the outermost layer of the epidermis) is known as hyperkeratosis and can be removed by mechanical debridement but other newer, alternative methods include: An active debridement pad, Debrisoft, which uses a fleece-like contact layer to mechanically remove debris, necrotic tissue, slough and exudate. […] 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.
  • #33 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.
  • #34 Varicose Eczema: Symptoms, Diagnosis, Treatment, and More
    https://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 […] 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 […] 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.
  • #35
    https://www.nhs.uk/conditions/varicose-eczema/
    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 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 these treatments do not help, a GP may refer you to a skin specialist (dermatologist) in case there’s another cause for your symptoms, or if they’re concerned you may also have contact dermatitis. […] 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.
  • #36 Understanding Itchy Veins: Venous Eczema Facts & Treatment Options
    https://www.veinhealth.com.au/beyond-the-itch-venous-eczema-explained/
    Venous Eczema is primarily a sign of venous insufficiency and varicose veins, where compromised blood flow and increased pressure in the veins lead to conspicuous symptoms. […] Effective management of Venous Eczema requires addressing the underlying venous conditions. Our approach includes: Compression Therapy: Medical-grade compression stockings are essential for managing venous pressure and improving circulation, directly impacting the symptom of itchy veins. […] Targeting the root causes, treatments such as sclerotherapy, radiofrequency ablation, and endovenous laser therapy offer solutions to the venous insufficiency and varicose veins responsible for Venous Eczema. […] It is through tailored medical treatments that we can effectively address the venous abnormalities causing Venous Eczema. […] Understanding and treating these root causes is essential for effective management.
  • #37 Recognizing and Treating Venous Eczema | Elmore Medical
    https://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. […] Treating venous eczema requires a multifaceted approach that addresses both the symptoms and the underlying cause of poor venous circulation. […] Compression therapy: Wearing compression stockings is one of the most effective ways to improve circulation and relieve symptoms. These stockings apply gentle pressure to the legs, helping to push blood back toward the heart. […] Sclerotherapy: This procedure involves injecting a solution into the affected veins to cause them to collapse and eventually fade away. It is often used to treat varicose veins and chronic venous insufficiency, in order to alleviate the symptoms of venous eczema. […] Endovenous laser treatment (EVLT): In EVLT, a laser is used to close off varicose veins, improving blood flow and reducing pressure in the veins of the lower legs.
  • #38 Varicose and Leg Eczema: Effective Treatments & Prevention Tips
    https://www.dexeryl.com/en/your-skin/atopic-dermatitis/eczema-body/eczema-leg-and-varicose
    Beyond topical treatments, several options are available to tackle varicose eczema from different angles: Pentoxifylline: This anti-platelet medication enhances blood circulation and can diminish pain associated with the condition. Venotonic Treatments: Medications such as escin, ruscus, flavonoids, and hydroxyethylrutosides are known to alleviate symptoms of venous insufficiency, like heaviness, pain, and cramps. Surgical Options: Sclerotherapy and endovenous ablation are procedures aimed at rectifying the underlying venous insufficiency, offering a more permanent solution.
  • #39 Recognizing and Treating Venous Eczema | Elmore Medical
    https://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. […] Treating venous eczema requires a multifaceted approach that addresses both the symptoms and the underlying cause of poor venous circulation. […] Compression therapy: Wearing compression stockings is one of the most effective ways to improve circulation and relieve symptoms. These stockings apply gentle pressure to the legs, helping to push blood back toward the heart. […] Sclerotherapy: This procedure involves injecting a solution into the affected veins to cause them to collapse and eventually fade away. It is often used to treat varicose veins and chronic venous insufficiency, in order to alleviate the symptoms of venous eczema. […] Endovenous laser treatment (EVLT): In EVLT, a laser is used to close off varicose veins, improving blood flow and reducing pressure in the veins of the lower legs.
  • #40 Stasis dermatitis – Wikipedia
    https://en.wikipedia.org/wiki/Stasis_dermatitis
    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.
  • #41 Can Varicose Eczema Be Cured? | The VeinCare Centre
    https://www.theveincarecentre.co.uk/can-varicose-eczema-be-cured/
    Can Varicose Eczema Be Cured? In the early stages, yes, Varicose Eczema can be cured. However, it must be treated early. Once Varicose Eczema is fully established, it becomes a long-term (or chronic) problem. […] What is the treatment for varicose eczema? The underlying vein problem should be diagnosed by Duplex Ultrasound and it should be rectified if possible. Over half of all cases of varicose eczema are caused by a malfunction in the superficial veins of the leg- veins which lie deep to the skin but superficial to the leg muscles. These problems in the superficial veins can nearly always 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. […] Varicose Eczema can be cured if it is treated early and the skin will return to normal. If there is extensive skin damage, successful treatment of the underlying veins will improve the symptoms of itch and swelling. Treatment will also reduce the risks of a leg ulcer. However, discolouration may not go completely and the damaged skin may still be vulnerable to injury.
  • #42 Varicose Eczema: Symptoms, Diagnosis, Treatment, and More
    https://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 […] 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 […] 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.
  • #43 Varicose and Leg Eczema: Effective Treatments & Prevention Tips
    https://www.dexeryl.com/en/your-skin/atopic-dermatitis/eczema-body/eczema-leg-and-varicose
    Beyond topical treatments, several options are available to tackle varicose eczema from different angles: Pentoxifylline: This anti-platelet medication enhances blood circulation and can diminish pain associated with the condition. Venotonic Treatments: Medications such as escin, ruscus, flavonoids, and hydroxyethylrutosides are known to alleviate symptoms of venous insufficiency, like heaviness, pain, and cramps. Surgical Options: Sclerotherapy and endovenous ablation are procedures aimed at rectifying the underlying venous insufficiency, offering a more permanent solution.
  • #44 Stasis Dermatitis Treatment & Management: Approach Considerations, Compression Therapy, Topical Therapy
    https://emedicine.medscape.com/article/1084813-treatment
    The European Society for Vascular Surgery (ESVS) 2022 guidelines recommend it be considered as an adjunct treatment to improve ulcer healing. […] In patients suspected of having tinea infection complicating their stasis dermatitis, topical antifungals to treat tinea pedis and reduce fungal involvement of the skin is essential.
  • #45 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    What is the treatment for venous eczema? […] Don’t stand for long periods. […] Take regular walks. […] Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively. […] Elevate the foot of your bed overnight. […] During the acute phase of eczema, bandaging is important to reduce swelling. […] When eczema has settled, wear graduated compression socks or stockings long term. Fitted moderate to high compression socks can be obtained from a surgical supplies company. Light compression using travel socks may be adequate, and these are easy to put on. They can be bought at pharmacies, travel and sports stores. More compression is obtained by wearing two pairs. […] Horse chestnut extract appears to be of benefit for at least some patients with venous disease.
  • #46 Varicose Eczema (Symptoms and Treatment) | Doctor
    https://patient.info/doctor/varicose-eczema-pro
    There is some evidence from Cochrane reviews that oral horse chestnut seed extract may be of benefit for symptoms of chronic venous insufficiency. Further trials are needed, however. […] […] This condition is likely to require involvement of different disciplines. […] […] 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. […] […] Topical steroids should clear the eczema but the secondary pigmentary changes will persist. […] […] There may be scope for prevention of skin disease and other complications with better management of varicose veins and venous insufficiency.
  • #47
    https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(varicose)/
    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. This encourages blood to flow upwards towards your heart. […] 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. […] Some people try complementary therapies such as food supplements or herbal remedies to treat varicose eczema, but there is often a lack of evidence to show they are effective in treating the condition.
  • #48 Varicose Eczema: Causes, Symptoms, and Treatment
    https://patient.info/heart-health/varicose-veins-leaflet/varicose-eczema-gravitational-eczema
    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. […] Herbal preparations applied to the skin have been known to cause allergic reactions and are best avoided.
  • #49
    https://www.nhs.uk/conditions/varicose-eczema/
    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 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 these treatments do not help, a GP may refer you to a skin specialist (dermatologist) in case there’s another cause for your symptoms, or if they’re concerned you may also have contact dermatitis. […] 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.
  • #50 Varicose Eczema: Causes, Symptoms, and Treatment
    https://patient.info/heart-health/varicose-veins-leaflet/varicose-eczema-gravitational-eczema
    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. […] Herbal preparations applied to the skin have been known to cause allergic reactions and are best avoided.
  • #51 Stasis Dermatitis Treatment & Management: Approach Considerations, Compression Therapy, Topical Therapy
    https://emedicine.medscape.com/article/1084813-treatment
    Counseling patients regarding the use of compression therapy is vital to the successful management of stasis dermatitis. […] Topical treatment of stasis dermatitis has much in common with the treatment of other forms of acute eczematous dermatitis. […] The nonsteroidal calcineurin inhibitors tacrolimus and pimecrolimus may prove to be useful tools in the management of stasis dermatitis. […] A single-arm, interventional pilot study by Maroo et al indicated that combination therapy with topical tacrolimus and oral doxycycline may be effective against stasis dermatitis. […] Crisaborole (Eucrisa) is a topical nonsteroidal PDE4 inhibitor approved for treating mild-to-moderate atopic dermatitis (eczema). […] Micronised purified flavonoid fraction (MPFF) is a venoactive drug (VAD) consists of of 90% diosmin and 10% other active flavonoids (hesperidin, diosmetin, linarin and isorhoifolin).
  • #52 Stasis Dermatitis Treatment & Management: Approach Considerations, Compression Therapy, Topical Therapy
    https://emedicine.medscape.com/article/1084813-treatment
    The European Society for Vascular Surgery (ESVS) 2022 guidelines recommend it be considered as an adjunct treatment to improve ulcer healing. […] In patients suspected of having tinea infection complicating their stasis dermatitis, topical antifungals to treat tinea pedis and reduce fungal involvement of the skin is essential.
  • #53 Varicose eczema – National Eczema Society
    https://eczema.org/information-and-advice/types-of-eczema/varicose-eczema/
    Moderate to potent topical steroids (steroid creams and ointments) are available from your doctor if the eczema is very itchy, but only apply them to areas of active eczema. Never use a cream or ointment prescribed for someone elses 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.
  • #54 Stasis Dermatitis: Symptoms, Causes, Treatment | National Eczema Association
    https://nationaleczema.org/eczema/types-of-eczema/stasis-dermatitis/
    It is possible to eliminate the symptoms of stasis dermatitis and to prevent future flares. Many of the above treatment options can also be used for prevention. […] Some actions you can take to reverse stasis dermatitis include: wearing compression socks, walking/moving your body frequently instead of sitting still for long periods of time, elevating your legs above your heart while sleeping and several times throughout the day, wearing loose fitting cotton clothing, avoiding irritants such as grass, pet hair, plants, products with fragrance and cleaning products, limiting salt, moisturizing daily. […] There are preventative measures to ease varicose vein symptoms and to improve blood circulation. These preventative steps include: try to move every 30 minutes and avoid staying still for longer than a half hour, exercise regularly to improve blood circulation, take regular breaks throughout your workday ideally, these breaks would be active instead of sitting still.
  • #55 Venous eczema, gravitational eczema
    https://dermnetnz.org/topics/venous-eczema
    Protect your skin from injury: this can result in infection or ulceration that may be difficult to heal. […] Treatment for varicose veins […] Seek the opinion of a vascular surgeon regarding varicose veins. […] These can be treated surgically, by endovenous laser, or sclerotherapy. […] Varicose veins may develop again after an apparently successful operation because venous disease is progressive.
  • #56 Varicose eczema | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/varicose-eczema/
    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). […] For many people, this will involve long-term treatment with a combination of: emollients (moisturisers); topical corticosteroids; compression stockings.
  • #57
    https://111.wales.nhs.uk/encyclopaedia/e/article/eczema(varicose)/
    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 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. […] Treatment for varicose eczema aims to improve the condition of your skin, treat your symptoms and help improve your blood flow (circulation).
  • #58 Venous Stasis Dermatitis: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24388-venous-stasis-dermatitis
    Venous stasis dermatitis occurs when blood pools in the lower legs and puts pressure on the skin. Treatment, including medication, special bandages and self-care, can help manage this long-term condition. […] To treat the skin, your healthcare provider may recommend you: Apply a special bandage (dressing) to affected areas. Rub a medicated cream into the skin. Take antibiotics if you have an infection. […] Your provider may also recommend that you: Elevate your feet throughout the day and at night to keep blood from pooling. Wear compression stockings or socks to improve blood flow. […] If your symptoms aren’t improving or getting worse, your healthcare provider will talk to you about the next steps. You may need other venous disease treatments, such as surgery, to improve blood flow in your veins. […] Healthcare providers can’t cure venous stasis dermatitis. But you can help control the condition by checking your skin regularly and getting treatment as needed.
  • #59 Varicose eczema cured by Whiteley Protocol
    https://thewhiteleyclinic.co.uk/interesting-cases/varicose-eczema-cured-whiteley-protocol/
    Varicose eczema, or venous eczema, usually occurs just above the ankle on the inside of the leg. It is caused by either visible varicose veins or “hidden varicose veins.” […] These patients are often misdiagnosed by doctors and nurses and are given steroid creams and/or compression stockings rather than be referred for a curative endovenous treatment. […] Varicose eczema and varicose veins cured by Whiteley Protocol – Before and after varicose vein surgery 4 weeks later. […] Following both the NICE guidelines on varicose veins and also The Whiteley Protocol, he was scanned by a clinical vascular scientist. […] Venous duplex ultrasonography confirmed truncal vein reflux and incompetent perforators. The patient underwent local anaesthetic endovenous laser ablation, TRLOP closure of perforators and phlebectomies. Four weeks later he had no symptoms, varicose eczema had stopped itching and had almost completely gone, the swelling of the ankle had resolved and the varicose veins had disappeared.