Stasis Dermatitis: Symptoms, Causes, Treatment & Leg Care

Stasis dermatitis, also known as venous eczema, is a common inflammatory skin condition of the lower legs caused by poor blood flow (venous insufficiency). It often affects older adults and those with varicose veins or a history of leg swelling. The condition leads to red, itchy, and scaly skin that can become chronic if not managed properly. Early treatment helps prevent complications like ulcers.

• Red or brownish discoloration on the lower legs and ankles
• Itching, burning, or aching sensation
• Swelling (edema) that worsens by end of day
• Scaly, dry, or weeping skin
• Thickened skin or open sores (ulcers) in advanced cases

Symptoms are usually bilateral and improve with leg elevation.

The primary cause is venous insufficiency—damaged valves in leg veins cause blood to pool, leading to leakage of fluid and inflammation. Risk factors include:

• Varicose veins or previous blood clots
• Obesity, prolonged standing, or sedentary lifestyle
• Heart failure or kidney disease
• Age and family history

Treatment focuses on improving circulation and calming skin inflammation:

• Compression stockings or wraps
• Leg elevation and regular walking
• Topical steroids or moisturizers for rash
• Oral medications for severe swelling or infection
• Procedures to treat underlying vein issues (sclerotherapy or ablation)

Consistent use of compression is often the cornerstone of management.

• Wear compression stockings daily
• Elevate legs above heart level several times a day
• Maintain healthy weight and stay active
• Keep skin moisturized and protected
• Avoid long periods of standing or sitting

Seek care for persistent leg rash, swelling, pain, or open sores. Early intervention prevents complications.

• Is stasis dermatitis curable? It is chronic but well-managed with consistent care.
• Can stasis dermatitis cause ulcers? Yes—proper compression and treatment reduce this risk.
• Best cream for stasis dermatitis? Thick, fragrance-free moisturizers and prescribed steroids.
• How long does it take to improve? Improvement can start within weeks with proper management.
• Is compression necessary? Yes—for most patients, it is the most effective long-term strategy.

Stasis dermatitis is a manageable sign of venous issues. With the right combination of compression, skincare, and medical care, you can reduce symptoms and protect your leg health. Request an appointment at Palmetto Skin and Laser Center for expert evaluation and personalized treatment. Call (803) 329-6030 or book online—relief and better leg health are within reach.