Varicose Eczema

Symptoms

Varicose Eczema (also referred to as Stasis Dermatitis) appears on the lower legs, and is caused by poor circulation.

The skin around the ankles is most commonly affected, and can lead to an ulcer if untreated.

Swollen legs are a common symptom, and itching and leg pains may accompany the swelling.

The skin also can become thin and inflamed, discoloured and scaly.

Who does it Affect?

The condition most often occurs in middle aged or elderly people.

Deep vein thrombosis, varicose veins or surgery to the affected areas can be contributing factors.

The skin is also more susceptible to irritants and topical treatments such as antibiotics, ingredients in topical drugs, and lanolin.

Modern Medicine

Treatments include elevating the ankle (higher than the heart) while resting.

Compression therapy, using specialised stockings can be beneficial, but needs to be maintained long term.

Water compresses can be applied to more severe cases.

Gradual increase in gentle exercise, such as walking, can improve circulation and lessen the predisposition to this condition.

Topical steroid based creams are used to treat inflammation, but this is not recommended for long term use because it can lead to thinning of the skin.

High potency topical steroid applications can also lead to ulceration and possible infection.

Open infections may need to be treated with topical antibiotics, but this may lead to the development of contact dermatitis.

If the condition becomes ulcerated, other treatments such as oral antibiotics are given.

The skin is more susceptible to irritants such as topical drugs, especially those made with a lanolin base.

Natural Alternatives

Elevate the legs and wear support stockings to prevent fluid accumulating.

Apply cool compresses and keep the skin clean to prevent infection.

Use a cold processed soap, free from artificial fragrances and preservatives. Cold processed soaps are glycerin rich and less likely to dry out the skin.

Avoid skincare products containing artificial fragrance and preservatives.

Avoid using moisturisers containing petrochemicals such as mineral oil, petrolatum, paraffin and propylene glycol.

Check the ingredients listing on all skincare products and avoid those that are known to be problematic.

Avoid using creams containing lanolin, and avoid wearing woollen clothing in direct contact with the affected areas.

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