Description of stasis dermatitis

The rash commonly affects the ankles and lower legs. Skin may become dry, scaly, swollen, warm, or tender, with redness or brownish discolouration that develops over time. Varicose veins, leg heaviness, and swelling that worsens after standing can occur alongside it. The condition reflects pressure and fluid leakage from veins, not a contagious infection. Repeated inflammation can make the skin fragile and may lead to cracks or sores, especially around the ankles.

A clinician can check your circulation, the skin barrier, and any open areas. Follow the recommended plan for swelling, which may include movement, leg elevation, and compression when suitable for your circulation. Treatment of associated [Varicose Veins](/conditions/varicose-veins/) may be discussed; [Sclerotherapy](/treatments/injectables/sclerotherapy/) is one possible vein treatment. For inflammation, a clinician may prescribe [Topical Corticosteroids](/treatments/medical-dermatology/topical-corticosteroids/) for an appropriate course. Use fragrance-free moisturiser and avoid scratching or harsh soaps.

Get prompt medical advice if swelling suddenly worsens, one leg becomes notably hotter or more painful, or the rash rapidly spreads. Seek urgent help for chest pain, sudden breathlessness, or coughing blood. An ulcer, pus, fever, increasing redness, or worsening tenderness can indicate infection and needs timely assessment. Do not apply compression without professional advice if arterial circulation has not been checked.

Is the swelling coming from venous circulation, and should my circulation be tested? Is compression suitable for me? Do I need treatment for varicose veins? Which moisturiser or anti-inflammatory treatment should I use on broken skin?