Unique Treatment Options Meant for Eczema

Eczema is regarded as the skin complaints which were from outward aspects which include genetics in addition to bad for your health external ailments. A portion of the treat eczema signs which are regarding this problem comprise of epidermis does not last long, redness, rashes, bleeding combined with damaging. Every one of these indications are uneasy combined with irritating to the sufferer which is but you don’t as to why your individual needs to seek out treatment at once. The complaint will probably hinder a sufferer’s ability to element generally and this is the key reason why many people are often in search of free from harm combined with rapid solutions with regards to Eczema.

The most important thing you should do in order to to halt Eczema is normally set off as a result of working together with any genital warts saving the product right from putting on. Cures is obviously the ideal guarantee and you need to eat healthy food to further improve any resistance ranges. You’ll also have to get sufficient sleeping for the body to use available at it really is top. If you happen to now infected, before you purchase desire to determine what remedies when it comes to Eczema really exist. Here’s a few of the methods that it’s possible to start Eczema remedy:

It assists to become manageable concerning picking out ones apparel. Typically the scratching will be upset with the style of clothes an individual put on according to climate conditions additionally. You should pick out dress wear that can be more comfortable in that exact season. Stay clear of showing off dusty wardrobe and also garmets that may experience mites. Almost all these could make that Eczema magnify.

Use a tub on a regular basis and make certain that skin color continues moist. Eczema is recognized to cause problems for dried-out skin and this is a reason factors it’s critical to guarantee that the skin color keeps replenished. Waters unmanned . diabetes cure breaches as well as flakes that happens to be recognized cause the Eczema. Implement minor merchandise to prevent yourself from annoying your skin.

Eliminate using increased bathrooms. Those that put up with Eczema may well be inclined to have considerably more washing which has an purpose of fixing virtually any bacteria and germs which could be onto the skin. Having to take extra baths could finish all the way up challenging the way it is. This is due to the epidermis could result re acting while using any chemical and additionally substances that are utilized to increase the risk for cleansers not to mention soap.

Get your body reaction tried. Purchasing a dermis allergies test out will let you make a decision the right kind regarding treatment or foodstuffs to eat to help you out in eliminating the specific situation. Take off and explore assessment just might help you study the realistic basis for any Eczema approach so you can avoid it in the future.

Eczema is usually a overall condition the fact that blasts folks that settle beneath unclean situations. You should test out a risk-free combined with immediate solutions when it comes to Eczema which were preferred above that you should have the opportunity with regard to the software. The tips might also help you to don’t end up being afflicted with the ailment. For everybody who is definitely seriously affected, then there’s no requirement to worry since you can as well proceed with the ideas to help you stop the situation.

<!–

–>

A Eczema Presenting A number of Dangerous Impact – Kutaisifiz

Eczema is about the issues which have been a result of usb elements for instance your age along with dangerous topographical problems. A lot of the eczema problems which might be regarding this issue contain pores and skin swelling, aggravation, scalp brekouts, internal bleeding and additionally irritation. All of these conditions seem to be embarrassed plus annoying within the client which is one good reason why a particular patient must have to search out treatment solution instantaneously. The condition could very well have an effect on your capacity to work in most cases which is reasons why many people are generally in search of healthy and even virtually instant products intended for Eczema.

Firstly you decide to do anybody searching for with regard to Eczema will be start off with addressing that eczema treatment and forestall that because of showing. Deterence is the most impressive wager but you need to eat sensible foods to increase a person’s protection degrees. You furthermore may need to get enough remainder for your system to figure located at its own finest. In case you are currently disturbed, you need to aspire to factors behind treatment methods designed for Eczema can be found. Here are a couple of the ways that it’s possible to begin Eczema heal:

It will help to become variable concerning finding any outfits. These damaging might be overwhelmed by way of kind of apparel everyone utilize dependent upon the atmospheric condition besides. You need to settle on outfit which you’ll find happy during that particular season. Stop wearing dingy clothes in addition to outfit which could already have termites. Each one of these may make the particular Eczema irritate.

Please take a bathtub fairly often make certain that affected skin remains moisturized. Eczema is capable of cause problems for dry skin which is why as to why it is essential that you should be sure that the skin is always moist. Waters unmanned . eczema cure bone injuries along with flakes which are usually seen to cause the Eczema. Make the most of light items to prevent irritating your sensitive skin.

Prevent currently taking severe bathtubs. Those that end up having Eczema might well be tempted to use more washing that have an intention of removing pretty much any germs and bacteria that might be of the skin. Currently taking too much bath could finish ” up ” getting worse the way it is. Mainly because skin may land up re-acting along with the artificial and then ingredients which widely-used to have the soap together with purifiers.

Go get your body allergy or intolerance investigated. Ending up with a face intolerance check will allow you to establish the correct connected with treatment methods or possibly foods to chow down so that you can when it comes to negating true. Going on a check will assist you to obtain the honest motive for all your Eczema episode in an effort to avoid it from now on.

Eczema can be a condition that will attacks men and women who settle lower than unclean problems. You need to consider any free from harm as well as on the spot alternatives for the purpose of Eczema which were proposed higher than if you want to are able to prevent the product. The guidelines will likely help should not afflicted with the illness. For everybody who is witout a doubt damaged, as there was you don’t stress as you might furthermore proceed with the tips to help you treatment the application.




House Cures For Eczema | Cuba Business Bureau

Eczema could be the skin sickness typified by redness, oozing, cracking and scaling from the skin. Eczema is attributable to publicity to extremes of heat, cold and psychological anxiety. Individuals with eczema put up with from itching and burning of skin specifically during the night time. Patches may perhaps show up on unique pieces from the physique but specifically occurs on hands, ft, ears and legs. Anybody can have eczema at any age no matter sexual intercourse. Eczema may bring about by local discomfort of chemicals, thermal and mechanical agents in people who are hypersensitive to any of these components.

Home Remedies for Eczema

A variety of medications are available to treat eczema. But some people tend not to respond to these medications. For these kinds of patient’s large amount of home cures for Eczema can also be accessible.
Myristica Fragrans or Nutmeg Paste

2-3 periods day-to-day application of nutmeg paste in water on sores may be very productive to cut back patches.

Camphor and Sandal Powder Paste

Camphor and sandal powder paste is likewise a fantastic home cure for eczema. Just take Equal degree of both of those mix them and make paste. Apply this paste on contaminated spot two times daily for one week.

Aloe Vera
Drinking Aloe Vera juice and application of Aloe Vera gel on effected spot is likewise regarded as advantageous to take care of skin rashes of eczema.

Musk Melon and Mangoes
Boiled pulp of mango in water and juice of musk melon may be very superb home cure for eczema. Peel off mango boiled in water permit it neat after which you can implement this paste about eczema rash for 10 to fifteen times. Inside the same way application of musk melon’s juice about patches also handy to take care of eczema.

Greens and Fruit Pastes
Common application of paste of sure vegetables and fruits efficiently decrease the itching, get rid of germs and likewise dry wound. These vegetables and fruits incorporate uncooked beans, pumpkin, cranberry, finger millet juice, paste or slice of potatoes and plain cabbage leaf. Strawberry paste is likewise use to take care of eczema. Apply strawberry paste and cover the patch with clear cotton cloth or thick band support. Strawberry paste is recommended to make use of 3 to 4 periods daily for 1-2 weeks. These vegetable and fruit pastes are regarded as incredibly productive home cures for eczema. Besides these pastes it is also proposed to scrub wounds with turmeric resolution and with boiled Neem leaves in water. Turmeric resolution can prepare by adding 2-3 teaspoons of turmeric in boiling water at small flame.

Diet program as House Cure for Eczema
Diet program may work as productive home cure for eczema. Individuals with eczema are proposed to make use of diet plan which is wealthy in vitamins (A, D, E and B complicated) and minerals (zinc and iron). Individuals are suggested to take in vegetables and fruits with adverse calories. Vegatables and fruits incorporate carrot, cabbage, beet root, tomato, apple, papaya, lemon, mango, orange and grapes. Use of these kinds of vegetables and fruits clear the bowel from harmful content that could bring about itching and skin ailments. In the course of diet plan treatment method individual is recommended to make use of only orange juice and water 3-4 periods daily for one week. Soon after one week individual may perhaps get other foodstuff goods like milk. When individual is finding enhanced he/she is suggested to get diet plan that includes gram, cereals, inexperienced vegetables, salads and complete wheat flour bread. Oily and spicy foodstuff is completely prevented during the treatment method.

Castor Oil
Castor oil is likewise use to take care of eczema. 4 to five drops of castor oil in plain water or in any juice is suggested to get early within the early morning devoid of acquiring any thing. Essentially it truly is an Indian home cure.

Honey and Vinegar
One particular desk spoon of honey and vinegar mixed with fast tea is recommended to make use of 2 periods for one week is productive cure for eczema.

Simple and Speedy House Remedies for Eczema

Subsequent are a few straightforward and swift cures for Eczema.
” Coconut oil is likewise productive to clear eczema.
” Solar tub is likewise handy to remedy eczema.
” Use of water dependent paste of freshly picked almond leaves about wounds stops development of eczema.
” Papaya seed paste also decreases itching.
” Witch hazel is an extremely common herb use to take care of inflammatory conditions from the skin may use to take care of eczema.
” Just take ground basil, one tablespoon of olive oil, two garlic cloves plus some salt and peeper. Combine all of them and spread it about eczema patches. It will eventually also provide you with relief.
” Drench your ft within the combination of vinegar and scorching water with one:4 ratios for 20 min two times daily is likewise a fantastic home cure for eczema.
” Garlic paste with honey in equal ratio is likewise utilized about wounds and wraps it with nylon bandage when going to mattress. When eliminate bandage clear it with alcohol tend not to use water about it.
” Fill the tub with warm water and insert walnut leaves in it. Sitting in this water for brief duration is likewise handy to take care of eczema.
” Combine crimson Henna in boiling water till u get combination of it. Enable it to chill after which you can spread about lesions. Go away it for 30 min after which you can wash it with water. You’ll be able to repeat this following every single 3-4 hrs in case you expected. You can do it often following 3 or times in case you consider you need it.
” Use sandals in lace of footwear. In case you use socks transform you socks on day-to-day foundation. Another most crucial idea is always to retain your ft dry. It’s proposed to dry your ft with hair dryer.
They’re some home cures for eczema. You need to use any appropriate home cure for eczema to take care of your personal eczema. As each one of these home cures are all-natural and organic dependent there aren’t any aspect outcomes claimed to these treatments. But it surely doesn’t necessarily mean which you halt working with doctor’s recommended medications. There may be no hurt to make use of these home cures together with medications.

3 Free Samples from The Dermalex for Eczema Sufferers – OzBargain

3 Free Samples from The Dermalex for Eczema Sufferers.

You can receive a free samples of Dermalex Repair for adults, Dermalex Repair for babies and children and Dermalex Repair for contact eczema.

Itching, red spots, irritation or rash? These symptoms are common for eczema sufferers. Eczema is a skin condition that needs a well balanced treatment in order to make your skin look healthy again.

Dermalex Repair is a cortisone free treatment for eczema symptoms. Dermalex’s barrier treatment concept is the latest generation in eczema treatment. Dermalex can be used on patients with varying mild to moderate severity of symptoms

• Helps relieve eczema symptoms
• Suitable for children and adults
• Can be used as a stand alone treatment or in combination with cortisone

About Eczema

Do you suffer from skin irritation, redness, itching, scaling or rashes? Chances are that you have one of the typical symptoms of eczema. This skin condition causes blood vessels to swell and irritates nerve endings. The underlying cause of eczema is an excessive reaction by the immune system, which results in an inflammation of the skin. Many factors are at cause, with genetics, the environment and impaired immune responses being the most dominant.

Atopic eczema is a problem which occurs from birth with patients who have an inherited genetic disposition. Flare ups can be triggered by factors such as allergens (food and hay fever), asthma, environmental factors, sweat, irritants and stress. Up to 20% of babies & children under the age of 5 have eczema. The prevalence rate with adults is about 3%.1

Contact eczema is seen more often with adults. It is frequently related to one’s profession (e.g. hairdresser, florists and factory workers). Contact eczema can be the result of an allergic or irritant reaction to one or various substances or products (such as detergents, alcohol, soaps, solvents or nickel) at work or in and around the home.

5 Things You Need to Know About Treating Eczema With Aloe Vera

5. How Aloe Vera Works

Aloe vera works to clear eczema in a few different ways. Aloe vera moisturizes, which helps keep dry skin hydrated. Eczema is often exacerbated by dry skin, so anything that adds moisture will help to alleviate the redness and dry patches characteristic of eczema. Aloe Vera encourages healthy skin growth, and it also acts as a protective barrier.

Read more

**********************************************************************************************************************

FLPThe Opportunity-image

 

 

 

The Business Opportunity

FOREVER has helped millions of people, from all around the world, achieve dreams that they never imagined possible
FOREVER has given me the chance to share a wonderful opportunity and amazing products with the entire world.
Healthy Lifestyle That Makes You Wealthy Forever
http://way2abundantlifestyle.com/
http://youtu.be/-XZB3orJxog
http://ning.it/13XTOrK

 

Eczema Treatment, the Natural Way | Natural Holistic Health Blog





Eczema has a nasty way of drying out your skin. That means the most upfront way of eczema treatment is to bring back all the moisture it lost, is still losing.

But we all know that the moisturizers we see on flashing commercial ads will not do the job. As some people who have tried them for eczema treatments said, those products do not even work skin-deep.

Those much hyped lotions have chemical ingredients that even lead to eczema outbreaks. The reason? The ingredients that supposedly work do not get absorbed by your skin, or they do the opposite of moisturizing: they accelerate skin drying and even irritate it.

So much for that. The best case scenario with these commercial lotions and moisturizers is that, when you rub them on your skin, you do get some rehydration, which just as soon leaves your skin.

So what you need is not a stop-gap treatment. Something that helps your skin heal enough so that, by itself, it could retain moisture without much or with no help at all from external applications.

You need a substance like Shea Butter, which brings back skin elasticity. That means your skin gets healed not in the manner of a temporary rehydration, but at the cellular level. Elasticity returned means your skin can retain the vital moisture it needs.

Shea gets absorbed quickly deep into your skin, seeping down into the skin layers, and because it has a remarkably high level of fatty acids (a component that is crucial in bringing back skin elasticity and moisture retention), it is probably the best treatment for eczema not seen on ads and posters.

Although other kinds of butter may also have some fatty acid components, the fatty acid in Shea butter is remarkably higher than, say, cocoa butter, and other vegetable butter. This makes this butter catapult to the top of your list of butters to buy as natural treatment for your eczema.

The benefits of going all natural does not end there. Shea butter even helps your skin improve the rate at which it heals burns and wounds, and even curbs instances of ugly scars. This is because Shea has vitamins A and E plus anti-inflammatory capacities. Healing and scar prevention aside, She also provides your skin with UV protection, and a natural shield against air pollutants exposure to which, over time in smoggy cities, can damage your skin.

This natural ways of treating your eczema can also come in blends with other natural products, allowing you to enjoy more benefits from more natural ingredients. When you use Shea Butter in lotions that contain them (but without the ingredients that reduce their effects), you deliver on your skin the most natural eczema treatment there is. When you combine this with some essential oils, like calendula, chamomile, and lavender, the combination heightens the moisturizing effects and prevents skin inflammation.

So do be cautious with flashy commercials pitching moisturizers that promise heavenly moisturized skin, but brings nothing much. Yes, some products might have Shea Butter amounts, but that amount along with some other ingredients, may overall negate Shea’s effectiveness against eczema. Best to go pure and natural.

More medical professionals are getting wind of the effective eczema treatments via Shea Butter. The outcome is that word of mouth coupled with established studies about Shea’s effective and no side effect treatment spreads. This is effective eczema treatment, the natural way.

Essential Oils for Eczema

The effectiveness of the oils in Heal Eczema to treat eczema is unsurpassed. It is now possible to control and treat your condition with Heal Eczema. Our specially formulated treatment is 100% natural, produced from the highest quality pure natural essential oils extracted from plants. The Heal Eczema formula is organic at the source, free from pesticides, herbicides, or chemical fertilizers.

It is recommended that Heal Eczema be used together with a course of Native RemediesImmunityPlus to strengthen the immune system and help prevent further outbreaks of Eczema in the future. Heal Eczema will give relief from irritation and discomfort almost immediately. Continued use will reduce the eczema patches until they disappear or are greatly reduced, depending on severity.

Thereafter, Heal Eczema can be used whenever a new outbreak occurs, as early as possible to prevent the scratching that usually exacerbates it.

Stay Informed!

Fill out the form below to sign up to our free natural health and healing newsletter and we’ll send you The Healing Art of Reflexology mini-course FREE!!



Subscribe with Facebook!

Or, use this form:

Free PDF Health Ebook…


Natural Help for Scalp Conditions

    Simply right click the ebook title above, and choose Save As to save to your desktop!  You can find more FREE Natural Health, Wellness and Pet Ebooks at Remedies4.com!


Apple Detox as an Eczema Treatment | 14 Days Eczema Cure

Research shows that apples are extremely beneficial to our health. These contain high levels of anti-oxidants which are known for their disease-fighting compounds, fiber that scientists have linked to protect us from Parkinson’s, and flavonol which is known to reduce risk of developing cancer of the pancreas. Of course, many of us know that eating apple also helps whiten and strengthen our teeth.

But do you know that apples are also highly recommended as an eczema treatment? Completely natural since there is no artificial process involved, the apple detox program rids your body of toxins it has accumulated, and as a result, prevents outbreaks in the future.

 How it works

This eczema treatment is perhaps the easiest way of address this condition, even if also comes with its fair share of sacrifices. Compared with other treatment options, it’s relatively quick, requiring you to eat only apples for two to three days.

Simple, right? But highly effective. What this apple detox program does is to cleanse  your body of toxins which have built up in your system over time. According to experts, the accumulation of toxins in our body triggers new eczema outbreaks in individuals who already have this condition.

These toxins slowly build up in our system through our incessant consumption of  processed and junk food. Smoking likewise increases the build up of toxins.

It is only through detoxification, in this case apple detox, that our body can cleanse itself of these harmful toxins. Besides improving our metabolism and overall health, this detoxification also helps in preventing future outbreaks among eczema patients.  

 Apple Detox As A Perfect Complement To Your Eczema Treatment

By preventing future outbreaks, apple detox is therefore the perfect complement to the eczema treatment you are currently undergoing right now. Whether you are using creams or ointments, going on this detoxification program optimizes the benefits of your present treatment. You need not worry of future outbreaks, after all!

Eating apples only for two to three straight days is not as easy as it sounds, that is why before you even embark on this eczema treatment, you should be 100% committed to it. You need to stay focused on your goal and resist every temptation that might come your way.

Stack up on apples of different varieties. The more varieties of apples you have in your fridge, the easier it is to stick to your apple detox program.

The morning after buying the apples, start with your program, and stick with it for the next two to three days. Do not eat anything besides apple, and if you are thirsty, drink pure apple juice or shake – one that is not mixed with water, sugar, or ice.

It is normal for you to experience headaches, mood swings, as well as stomach upsets at first. This is a good sign since this indicates that the program is effective. As you begin to make this a habit – it is suggested that you undergo apple detox once or twice a month – you will no longer feel these withdrawal symptoms.

 

Stasis dermatitis – Causes, Symptoms, Diagnosis, Treatment …


Basics

Description

  • Chronic, eczematous, erythremic, scaling, and noninflammatory edema of the lower extremities accompanied by cycle of scratching, excoriations, weeping, crusting, and inflammation in patients with chronic venous insufficiency, due to impaired circulation and other factors (nutritional edema)
  • Clinical skin manifestation of chronic venous insufficiency usually appears late in the disease
  • May present as a solitary lesion
  • System(s) affected: Skin/Exocrine
  • Synonym(s): Gravitational eczema; Varicose eczema; Venous dermatitis

Epidemiology

Incidence

  • In the US: Common in patients >50 (6–7%)
  • Predominant age: Adult, geriatric
  • Predominant sex: Female > Male

Geriatric Considerations

  • Common in this age group
  • Estimated to affect 15–20 million patients >50 years in the US

Risk Factors

  • Atopy
  • Superimposition of itch–scratch cycle
  • Trauma
  • Previous deep vein thrombosis (DVT)
  • Previous pregnancy
  • Prolonged medical illness
  • Obesity
  • Secondary infection
  • Low-protein diet
  • Old age
  • Deposition of fibrin around capillaries
  • Microvascular abnormalities
  • Ischemia
  • Genetic propensity
  • Edema
  • Tight garments that constrict the thigh
  • Vein stripping
  • Vein harvesting for coronary artery bypass graft surgery
  • Previous cellulitis

Genetics

Familial link probable

General Prevention

  • Use compression stockings to avoid recurrence of edema and to mobilize the interstitial lymphatic fluid from the region of stasis dermatitis.
  • Topical lubricants twice a day to prevent fissuring and itching

Etiology

  • Incompetence of perforating veins causing blood to backflow to the superficial venous system leading to venous hypertension (HTN) and cutaneous inflammation
  • Continuous presence of edema in ankles, usually present because of venous valve incompetency (varicose veins)
  • Weakness of venous walls in lower extremities
  • Trauma to edematous, eczematized skin
  • Itch may be caused by inflammatory mediators (from mast cells, monocytes, macrophages, or neutrophils) liberated in the microcirculation and endothelium
  • Abnormal leukocyte-endothelium interaction is proposed to be a major factor.
  • A cascade of biochemical events leads to ulceration.
  • Is associated with amlodipine therapy
  • Elevated homocysteine has been noted in patients with stasis dermatitis.

Commonly Associated Conditions

  • Varicose veins
  • Venous insufficiency
  • Other eczematous disease
Varicose veins, Chronic venous insufficiency, Eczema, Cardiovascular Disorders, Vascular Disorders, deep vein thrombosis, coronary artery bypass graft surgery, Stasis dermatitis,

Patient V.K, a 64-year-old male patient; Stasis dermatitis with a negative patch test, before (a) and after treatment with flush ligation and saphenectomy (b)

Diagnosis

History

  • Erythema, scaling, edema of lower extremities
  • Pruritus
  • Excoriations
  • Weeping, crusting, inflammation of the skin
  • Noninflammatory edema precedes the skin eruption and ulceration.
  • Edema initially develops around the ankle.
  • Itching, pain, and burning may precede skin signs, which are aggravated during evening hours (1)[B].
  • Insidious onset
  • Usually bilateral
  • Description may include aching/heavy legs

Physical Exam

  • Evaluation of the lower extremities characteristically reveals:

    • Bilateral scaly, eczematous patches, papules, and/or plaques
    • Violaceous (sometimes brown), erythematous-colored lesions due to deoxygenation of venous blood (postinflammatory hyperpigmentation and hemosiderin deposition within the cutaneous tissue)
  • Distribution: Medial aspect of ankle with frequent extension onto the foot and lower leg
  • Brawny induration
  • Stasis ulcers (frequently accompany stasis dermatitis) secondary to cuts, bruises, and excoriations to the weakened skin around the ankle
  • Mild pruritus, pain (if ulcer present)
  • Varicosities are often associated with ulcers.
  • Clinical inspection reveals erythematous color with increased pigmentation, swelling, and warmth.
  • Skin changes are more common in the lower 3rd of the extremity and medially.
  • Early signs include prominent superficial veins and pitting ankle edema.
  • May present as a solitary lesion (2)[C]

Diagnostic Tests & Interpretation

Lab

Initial lab tests

Culture stasis ulcers if bacterial infection is suspected.

Imaging

Initial approach

Duplex ultrasound imaging is helpful in diagnosis (3)[C].

Diagnostic Procedures/Surgery

Rule out arterial insufficiency (check peripheral pulses, leg blood pressures).

Pathological Findings

Chronic inflammation, characterized histologically by proliferation of small blood vessels in the papillary dermis

Differential Diagnosis

  • Other eczematous diseases:

    • Atopic dermatitis
    • Uremic dermatitis
    • Contact dermatitis (due to topical agents used to self-treat)
    • Neurodermatitis
    • Arterial insufficiency
    • Sickle cell disease causing skin ulceration
    • Cellulitis
    • Erysipelas
  • Tinea dermatophyte infection
  • Pretibial myxedema
  • Nummular eczema
  • Lichen simplex chronicus
  • Xerosis
  • Asteatotic eczema
  • Amyopathic dermatomyositis

Treatment

Medication

First Line

  • Use of antibiotics topically or systemically is controversial, as stasis ulcer may not be infected.
  • Antibiotics are indicated if bacterial infection is present, or may be used empirically if bacterial infection is suspected.
  • If ulcer is present, local povidone-iodine treatment is as effective as systemic antibiotics (4)[B].
  • If secondary infection, treat with oral antibiotics for Staphylococcus orStreptococcus organisms (e.g., dicloxacillin 250 mg q.i.d., cephalexin 250 mg q.i.d. or 500 mg b.i.d., or levofloxacin 250 mg q.i.d.).
  • Gram-negative colonization: Treat with topical antimicrobial agents (e.g., benzoyl peroxide, acetic acid, silver nitrate, or Hibiclens) or broad-spectrum topical antibiotics (e.g., neomycin or bacitracin-polymyxin B [Polysporin]).
  • 5% Aluminum acetate (Burow solution) wet dressings and cooling pastes
  • Topical triamcinolone 0.1% (Kenalog, Aristocort) cream/ointment t.i.d. or topical betamethasone
  • Betamethasone valerate (Valisone) 0.1% cream/ointment/solution t.i.d. (5)[A]
  • Topical antipruritic: Pramoxine, camphor, menthol, and doxepin
  • Systemic steroids for severe cases
  • Calcium dobesilate has been shown to be an effective adjuvant therapy (6)[B].
  • Vitamin supplementation in patients with hyperhomocysteinemia (7)[C]
  • Evidenced-based treatment options for associated venous ulcers include aspirin and pentoxifylline (8)[B].

Second Line

  • Consider antibiotics on basis of culture results of exudate from ulcer craters.
  • Lubricants when dermatitis is quiescent
  • Chronic stasis dermatitis can be treated with topical emollients (e.g., white petroleum, lanolin, Eucerin).
  • Antipruritic medications (e.g., diphenhydramine, cetirizine hydrochloride, desloratadine)

Additional Treatment

If the patient is on amlodipine therapy consider discontinuing amlodipine (9)[B].

General Measures

Primary role of treatment is to reverse effects of venous HTN. Appropriate health care:

  • Outpatient:

    • Reduce edema (8)[B]:

      • Leg elevation: Heels higher than knees, knees higher than hips
      • Compression therapy: Elastic bandage wraps: Ace bandages or Unna paste boot (zinc gelatin) if lesions are dry or compression stockings (Jobst or nonfitted type) (10,11)[A]
      • Pneumatic compression devices
      • Diuretic therapy
    • Treat infection:
      • Débride the ulcer base of necrotic tissue.
      • Improvement of lipodermatosclerosis
    • Activity:
      • Avoid standing still.
      • Stay active and exercise regularly.
      • Elevate foot of bed unless contraindicated.
  • Inpatient for vein stripping, sclerotherapy, or skin grafts:
    • Venous ulcer treatment includes autolytic, biologic, chemical, mechanical, and surgical:

      • Autolytic: Hydrogels, alginates, hydrocolloids, foams, and films
      • Biologic: Topical application of granulocyte macrophage colony-stimulating factor promotes healing of ulcers.
      • Chemical: Enzyme débriding agents
      • Mechanical: Wet to dry dressings, hydrotherapy, and irrigation
      • Surgical modifying cause of venous HTN, treat ulcer by graft

Surgery/Other Procedures

Sclerotherapy and surgery may be required.

Ongoing Care

Follow-Up Recommendations

Patient Monitoring

If Unna boot compression is used: Cut off and reapply boot once a week (restricts edema and prevents scratching).

Diet

  • No special diet
  • Lose weight, if overweight

Patient Education

  • Stress staying active to keep circulation and leg muscles in good condition. Walking is ideal.
  • Keep legs elevated while sitting or lying.
  • Don’t wear girdles, garters, or pantyhose with tight elastic tops.
  • Don’t scratch.
  • Elevate foot of bed with 2–4-inch blocks.

Prognosis

  • Chronic course with intermittent exacerbations and remissions
  • The healing process for ulceration is often prolonged and may take months.

Complications

  • Sensations of itching, pain, and burning have negative impact on the quality of life
  • Secondary bacterial infection
  • DVT
  • Bleeding at dermatitis sites
  • Squamous cell carcinoma in edges of long-standing stasis ulcers
  • Scarring, which in turn leads to further compromise to blood flow and increased likelihood of minor trauma

References

1. Duque MI, Yosipovitch G, Chan YH, et al. Itch, pain, and burning sensation are common symptoms in mild to moderate chronic venous insufficiency with an impact on quality of life. J Am Acad Dermatol. 2005;53:504–8.

2. Weaver J, Billings SD et al. Initial presentation of stasis dermatitis mimicking solitary lesions: a previously unrecognized clinical scenario. J Am Acad Dermatol. 2009;61:1028–32.

3. Coleridge-Smith P, Labropoulos N, Partsch H, et al. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs–UIP consensus document. Part I. Basic principles. Eur J Vasc Endovasc Surg.2006;31:83–92.

4. Daróczy J. Quality control in chronic wound management: the role of local povidone-iodine (Betadine) therapy. Dermatology. 2006;212 (Suppl 1):82–7.

5. Weiss SC, Nguyen J, Chon S, et al. A randomized controlled clinical trial assessing the effect of betamethasone valerate 0.12% foam on the short-term treatment of stasis dermatitis. J Drugs Dermatol. 2005;4:339–45.

6. Kaur C, Sarkar R, Kanwar AJ, et al. An open trial of calcium dobesilate in patients with venous ulcers and stasis dermatitis. Int J Dermatol. 2003;42:147–52.

7. Kartal Durmazlar SP, Akgul A, Eskioglu F et al. Hyperhomocysteinemia in patients with stasis dermatitis and ulcer: A novel finding with important therapeutic implications. J Dermatolog Treat. 2009;1–4.

8. Collins L, Seraj S et al. Diagnosis and treatment of venous ulcers. Am Fam Physician. 2010;81:989–96.

9. Gosnell AL, Nedorost ST et al. Stasis dermatitis as a complication of amlodipine therapy. J Drugs Dermatol. 2009;8:135–7.

10. Partsch H, Flour M, Coleridge Smith P. Indications for compression therapy in venous and lymphatic disease Consensus based on experimental data and scientific evidence. Under the auspices of the IUP. Int Angiol.2008;27:193–219.

11. Coleridge-Smith PD. Leg ulcer treatment. J Vasc Surg. 2009;49:804–8.

Additional Reading

Antignani PL. Classification of chronic venous insufficiency: a review.Angiology. 2001;52 (Suppl 1):S17–26.

13. Durmazlar SPK, Akgul A, Eskioglu F. Hyperhomocysteinemia in patients with stasis dermatitis and ulcer: A novel finding with important therapeutic implications. J Dermatolog Treat. 2009;20:3;1–4.

See Also (Topic, Algorithm, Electronic Media Element)

Varicose Veins

Algorithm: Rash, focal

Codes

ICD9

  • 454.1 Varicose veins of lower extremities with inflammation
  • 459.81 Venous (peripheral) insufficiency, unspecified

Snomed

  • 35498005 Stasis dermatitis (disorder)
  • 275700003 Varicose veins of the leg with eczema (disorder)

Clinical Pearls

Treatment of edema associated with stasis dermatitis via elevation and/or compression stockings is essential for optimal results.