Stasis dermatitis: Diagnosis and treatment
How do dermatologists diagnose stasis dermatitis?
To diagnose this condition, your dermatologist will examine your skin, looking closely at the skin that shows signs of stasis dermatitis. Your dermatologist will also want to know about your medical history. It is important to mention the following:
Past blood clot
Injury to the area
Medical tests may be necessary to find out exactly why you have poor circulation in the area. Your dermatologist may refer you to another doctor or recommend one or more of following tests:
Doppler ultrasound (to look at how your blood flows)
Tests to rule out problems with your heart
Allergy testing (stasis dermatitis increases the risk of developing an allergic reaction on your skin)
If you have stasis dermatitis, your dermatologist will create a treatment plan that addresses your specific needs.
How do dermatologists treat stasis dermatitis?
When treating stasis dermatitis, the goal is to get it under control. Your treatment plan will include treatment for each of your signs and symptoms, which may include:
Swelling: To reduce the swelling in a lower leg, most patients wear a compression stocking, compression dressing, or Unna boot. Compression can reduce swelling as well as improve your circulation.
Because it is so important to reduce swelling, it helps to elevate your legs throughout the day. If possible, dermatologists recommend that you elevate your legs above your heart:
Once every 2 hours for 15 minutes
While you sleep (keep your legs elevated with pillows)
Inflammation (redness, swelling, and pain): To treat this, most patients apply medicine to the stasis dermatitis. Your dermatologist may prescribe a medicine called a corticosteroid or a topical calcineurin (cal-see-neur-in) inhibitor (TCI).
Infection: If you have an infection, taking an antibiotic or applying an antibiotic to the stasis dermatitis can help clear the infection.
Wounds: You may need to apply a special dressing to the wound to help it heal.
Itch: Taking an antihistamine can help calm an intense itch.
Dry skin: Applying a moisturizer a few times per day can help get rid of the dry skin.
Because stasis dermatitis makes the skin so sensitive, you’ll want to use a moisturizer that is free of:
Good options include petroleum jelly and a thick cream that says “fragrance free” on the label. Your dermatologist may also recommend a moisturizer.
Varicose veins: Sometimes varicose veins — those large blue or purple veins that rise above the skin’s surface — can cause discomfort and pain. In rare cases, they can cause bleeding leg sores.
Removing troublesome vein can alleviate your discomfort and may reduce bleeding leg sores. If vein removal is recommended, your dermatologist can recommend an appropriate procedure for you. Many procedures are minimally invasive.
About the skin discoloration: Stasis dermatitis can cause the affected skin to turn a brownish color. This discoloration often remains even when the swelling, sores, and other signs clear. If the discoloration bothers you, ask your dermatologist about treatment options that could reduce the discoloration.
What is the outcome for a person who has stasis dermatitis?
You may have stasis dermatitis for life. Many patients are able to manage the disease on their own once they get the stasis dermatitis under control. Managing the disease often involves:
Wearing compression stockings
Elevating your legs as needed
Following a skin care plan
Applying medicine when you have a flare
You’ll also need to see your dermatologist for follow-up appointments.
Self-care plays an important role in getting stasis dermatitis under control. It is essential to keep it under control.
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