What Is the First Treatment for Stasis Dermatitis?

Stasis dermatitis, sometimes called varicose eczema, affects the lower legs when fluid and blood pressure build around veins. The skin may become itchy, dry, scaly, red-brown or swollen, and scratching can create breaks that invite infection. A topical corticosteroid can calm an active flare for a clinician-directed period. Moisturiser, gentle cleansing and management of leg swelling support the skin while the underlying circulation is assessed.

Use the prescribed topical corticosteroid only as directed, and apply an unperfumed moisturiser to dry areas as advised. Avoid scratching, harsh soaps and tight clothing around the affected skin. Elevating the legs when resting may reduce swelling. Compression may help some people, but it should be recommended after circulation has been assessed. If varicose veins contribute, a clinician may discuss options such as sclerotherapy rather than treating the rash alone.

Seek prompt care for rapidly increasing redness, warmth, pain, swelling, pus, fever or a wound that is enlarging. Sudden one-sided leg swelling or calf pain also needs urgent assessment. These features may indicate infection or a circulation problem requiring a different response from routine eczema care.

Ask how long to use the steroid, which moisturiser suits your skin, whether compression is safe for you, and whether varicose veins or another circulation issue should be assessed. Ask how to recognise infection and when the flare should be reviewed.