Symptoms and Signs

• Initially, hyper pigmentation and red-brown discoloration appear
• Later, eczematous changes develop and manifest as erythema, scaling, weeping, and crusting, condition can be worsened by worse by bacterial super infection or by contact dermatitis

• When stasis dermatitis are inadequately treated, it can progresses to frank skin ulceration, thickened fibrotic skin or a painful indurations

Treatment

• Chronic venous insufficiency must be adequately treated with leg elevation and compression stockings
• For acute stasis dermatitis (characterized by crusts, exudation, and superficial ulceration), continuous and then intermittent tap water compresses should be applied
• For a weeping lesion, a hydrocolloid dressing may be best
• For less acute dermatitis, a corticosteroid cream or ointment should be applied 3 times a day or incorporated into zinc oxide paste
• Ulcers are best treated with compresses and bland dressings (eg, zinc oxide paste), Colloid-type dressings used under elastic support are more effective than other dressing
• Oral and topical antibiotics are useful for erosions and ulcers
• When edema and inflammation subside, split-thickness skin grafts may be needed for large ulcers.