Medicines for Varicose eczema

What it is

Varicose eczema (also called venous or gravitational eczema) is a common skin condition affecting the lower legs, caused by poor circulation in the leg veins. When the valves in the leg veins do not work well, blood pools and the increased pressure affects the skin, leading to inflammation. It causes itchy, dry, red or discoloured and sometimes flaky or crusty skin, usually around the ankles and lower legs, and the skin may become brown-stained, hardened or, over time, more fragile. It is more common in older people, those with varicose veins, previous leg swelling or deep vein thrombosis, and reduced mobility. It is important because, as well as being uncomfortable, the skin changes can progress and, if not managed, the skin can break down into a venous leg ulcer. It is usually diagnosed by its typical appearance and location, along with signs of vein problems.

How it is treated

Management addresses both the skin and the underlying vein problem. For the skin, regular use of moisturisers (emollients) to soften and protect the dry skin, and, during flare-ups, a topical steroid to settle the inflammation, are the mainstays, along with avoiding irritants and gentle skin care. Crucially, treating the underlying venous problem is key: compression (stockings or bandaging) supports the veins, reduces the pooling and swelling, and helps the skin — and is often central to preventing progression and ulcers, provided the arterial blood supply is adequate (which is checked first). Keeping active, elevating the legs when resting, and maintaining a healthy weight all help. Because varicose eczema can be a sign of significant vein disease and a risk factor for leg ulcers, assessing and managing the veins matters. Treating any varicose veins may be considered. The message is that varicose eczema is managed with good skin care plus, importantly, compression and attention to the leg veins.