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Stasis Dermatitis & Varicose Veins: What's the Connection?

Written By Center for Vein Restoration
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When it comes to vein problems, varicose veins are often the first thing that comes to mind. Those twisted, enlarged veins near the surface of the skin can be unsightly and uncomfortable, but they are more than just a cosmetic concern. Varicose veins are a sign of underlying vein disease, specifically chronic venous insufficiency (CVI). One of the lesser-known complications of CVI is stasis dermatitis, a condition that affects the skin and can lead to more serious problems such as leg ulcers.

In this blog, we'll explore the connection between stasis dermatitis and varicose veins and discuss treatment options to prevent complications.

Understanding Venous Insufficiency and Varicose Veins

Before diving into stasis dermatitis, it’s essential to understand the root cause: venous insufficiency. Veins in your legs work against gravity to return blood to the heart, relying on tiny valves that prevent blood from flowing backward. When these valves fail or become weak, blood can pool in the legs, leading to increased pressure in the veins. This condition is known as chronic venous insufficiency (CVI).

One of the most visible signs of CVI is varicose veins. These swollen, twisted veins often appear blue or purple and can be seen just under the skin's surface. While varicose veins may seem like a cosmetic issue, they indicate a more serious underlying vein disease. When left untreated, varicose veins can lead to complications such as venous stasis ulcers, bleeding, and even deep vein thrombosis (DVT).

What Is Stasis Dermatitis?

According to the National Eczema Association, stasis dermatitis, also known as venous eczema or gravitational dermatitis, is a skin condition caused by poor circulation in the lower legs due to venous insufficiency. The condition is characterized by inflammation, redness, and itching, typically affecting the skin around the ankles and lower legs. Over time, stasis dermatitis can cause the skin to become thick, scaly, and discolored.

The skin changes associated with stasis dermatitis occur because of the persistent buildup of fluid (edema) and pressure in the veins. This buildup can cause blood to leak out into the surrounding tissues, triggering an inflammatory response and leading to skin symptoms of stasis dermatitis.

Stasis dermatitis usually occurs in people over the age of 50, and women are more likely to get it than men.

The Link Between Stasis Dermatitis and Varicose Veins

The connection between stasis dermatitis and varicose veins lies in the underlying cause: venous insufficiency. When blood pools in the veins due to malfunctioning valves, it increases pressure in the veins, particularly in the lower legs. This pressure can cause the veins to stretch and become varicose, but it also affects the surrounding skin and tissues.

As the pressure and fluid buildup continues, the skin is robbed of essential nutrients and oxygen, developing stasis dermatitis. The inflammation, itching, and discoloration seen in stasis dermatitis directly result from ongoing venous stasis, where blood flow is stagnant or slowed in the affected veins.

Stasis dermatitis can progress without proper treatment and lead to more severe complications. One of the most serious outcomes is the development of venous stasis ulcers.

What Causes Leg Ulcers?

Leg ulcers, particularly venous stasis ulcers, are a common and serious complication of untreated venous insufficiency and stasis dermatitis. These ulcers occur when the skin breaks down due to prolonged pressure and lack of proper blood circulation. The result is an open wound that can be slow to heal and prone to infection.

Venous stasis ulcers typically form around the ankles and lower legs, the same areas affected by stasis dermatitis. They often begin as small areas of skin breakdown but can quickly enlarge and become deep wounds. The presence of varicose veins, edema, and skin changes from stasis dermatitis increases the risk of developing these ulcers.

What Kind of Doctor Treats Stasis Dermatitis?

Stasis dermatitis is a skin inflammation resulting from chronic venous insufficiency, where poor circulation leads to fluid buildup and skin changes in the lower legs. Symptoms include redness, scaling, itching, and sometimes ulcers. Treating stasis dermatitis requires addressing both the skin condition and the underlying vein issues. Vein specialists, like those at Center for Vein Restoration, are equipped to manage this condition, sometimes in a shared approach with a dermatologist.

Collaboration between dermatologists and vein doctors ensures effective treatment by combining skin care with interventions to improve venous circulation. This integrated care helps alleviate symptoms and prevent further complications.

The Experts in Vein Care: Center for Vein Restoration

Take the first step towards healthier legs by scheduling a consultation with the experts at Center for Vein Restoration. Our dedicated team of board-certified physicians is committed to providing personalized care tailored to your unique needs. Whether you're dealing with varicose veins, spider veins, or other venous issues, we are here to help you find the relief and confidence you deserve. Book your consultation today and discover why we are the nation's leader in vein care.

Call 240-965-3915 to speak to a Patient Services Representative or schedule your consultation online at a CVR near you today.

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Treatment Options for Stasis Dermatitis and Varicose Veins

Addressing stasis dermatitis and varicose veins early is crucial to prevent complications like venous stasis ulcers. Treatment focuses on improving circulation, reducing inflammation, and managing the underlying venous insufficiency.

  1. Compression Therapy: One of the most effective ways to manage venous insufficiency and its symptoms is through compression therapy. Compression stockings help improve blood flow by applying pressure to the legs, which aids in pushing blood back toward the heart. This can reduce swelling, alleviate stasis dermatitis symptoms, and prevent the progression of varicose veins.
  2. Topical Treatments: Topical corticosteroids can help reduce inflammation and itching for stasis dermatitis. Moisturizers are also important to keep the skin hydrated and prevent cracking, which can lead to ulcers.
  3. Lifestyle Changes: Elevating the legs, exercising regularly, and maintaining a healthy weight can improve circulation and reduce the risk of developing varicose veins and stasis dermatitis. Avoiding long periods of standing or sitting can also help manage symptoms.
  4. Wound Care for Venous Stasis Ulcers: If a venous stasis ulcer has developed, specialized wound care is essential. This may include cleaning the wound, applying dressings, and using compression bandages to promote healing. In some cases, advanced therapies like bioengineered skin substitutes or hyperbaric oxygen therapy may be used to aid in healing.
  5. Outpatient Treatment Options: For more severe cases of varicose veins, outpatient treatments such as sclerotherapy, endovenous laser therapy (EVLT), or radiofrequency ablation (RFA) may be recommended. These minimally invasive procedures target the damaged veins, reducing symptoms and preventing complications like stasis dermatitis and venous stasis ulcers.
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Preventing Stasis Dermatitis and Varicose Veins

Addressing venous insufficiency early is the best way to prevent stasis dermatitis, varicose veins, and their complications. Regular check-ups with a vein specialist can help identify vein problems before they become severe. If you have a family history of vein disease, are overweight, or spend extended periods standing or sitting, you may be at higher risk and should consider proactive measures to protect your vein health.

Protect Your Skin and Vein Health: Why Timely Treatment for Venous Insufficiency Matters

Stasis dermatitis and varicose veins are more than just cosmetic concerns; they are signs of underlying venous insufficiency that can lead to serious complications like venous stasis ulcers. By understanding the connection between these conditions and seeking appropriate treatment, you can protect your skin, improve circulation, and prevent long-term damage.

Don’t wait for your symptoms to worsen! If you’re experiencing symptoms of venous insufficiency, such as varicose veins or skin changes, consult a vein specialist to explore your treatment options and maintain healthy legs.

The experienced vein care team at CVR is ready to assess your condition and provide effective treatment options to improve your vein health and prevent complications. Take control of your leg health and start your journey towards healthier, pain-free legs with our expert care.

CVR accepts many insurances, including Aetna, Amerigroup, Anthem, Blue Cross/Blue Shield, Cigna, MultiPlan, Medicaid, Medicare, and more.

Call 240-965-3915 to speak to a Patient Services Representative or schedule your consultation online at a CVR near you today.

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