Stasis dermatitis

Alternative names:

leg ulcers

Treatment:

The underlying condition and edema must be controlled. This may include surgical correction of varicose veins, medications to control heart failure, diuretics to remove excess fluid, and other treatments.

Circulation in the area may be improved as edema is reduced. This can be aided by elevation of the legs above the level of the heart until swelling is lessened. Gradual increase in gentle activity, such as walking, can improve circulation.

Elastic stockings may be recommended to improve venous blood return from the legs, which will reduce swelling.

Treatment of the skin may include wet dressings and topical antibiotics to control infection in open ulcers.

The skin area should be kept clean and observed for signs of infection (pain, redness, drainage that looks like pus).

Expectations (prognosis):

Stasis dermatitis is often a chronic condition. Symptoms may be minimized if the underlying condition and edema can be controlled.

Complications:

• secondary bacterial skin infections
• permanent scar formation

Calling your health care provider:

Call for an appointment with your health care provider if stasis dermatitis develops.