What should you know about stasis dermatitis in Black skin?

Stasis dermatitis develops when fluid and blood collect in the lower legs because veins are not returning blood efficiently. Swelling raises pressure in nearby tissues and can irritate the skin. Itch, dryness, scaling, warmth, tenderness, and a tight feeling may follow. Over time, the skin can become thick, firm, shiny, or uneven in colour.

In richly pigmented skin, inflammation may be easier to recognise through purple, grey, brown, or altered pigmentation than through bright redness. Colour change can remain after active irritation settles. Varicose veins, ankle swelling that worsens after standing, or a history of leg ulcers can provide useful clues, but a clinician should check for other causes of swelling and rash.

Have the leg examined so the circulation problem and the skin inflammation are addressed together. Moisturise regularly with a fragrance-free emollient, avoid scratching, and use gentle cleansing rather than hot water or harsh scrubs. When resting, raise the legs if this is comfortable. Movement such as walking can support calf-muscle pumping, unless pain or another medical problem limits it.

Compression may help some people, but its strength and safety depend on arterial circulation, swelling, wounds, and other conditions. Use it only after a clinician has assessed you and shown the correct fit. Treatment for visible vein problems may include [Sclerotherapy](/treatments/injectables/sclerotherapy/), while inflammation may be treated with prescribed [Topical Corticosteroids](/treatments/medical-dermatology/topical-corticosteroids/).

Seek urgent assessment for one-sided sudden swelling, severe pain, a hot tender leg, breathlessness, or chest pain. Contact a clinician promptly for an open sore, spreading warmth, pus, fever, or rapidly worsening swelling. A new colour change that is sharply different from the other leg also deserves examination, especially if the foot feels cold or numb.

Ask how vein function will be assessed, whether compression is suitable for you, how to protect an area with altered pigmentation, and which moisturiser or anti-inflammatory treatment fits your skin. Tell the clinician about leg pain, ulcers, previous clots, and medicines that affect swelling.