From the Research
Treatment for stasis dermatitis should prioritize compression therapy, leg elevation, and topical corticosteroids to reduce swelling, improve circulation, and heal the skin, as supported by the most recent study 1. The goal of treatment is to address the underlying circulatory issues while healing the skin. Key components of treatment include:
- Elevating the legs above heart level for 30 minutes, 3-4 times daily to reduce swelling
- Compression therapy with compression stockings (20-30 mmHg pressure) during waking hours to improve blood flow
- Using mild, fragrance-free cleansers and applying moisturizers like petrolatum or ceramide-containing creams twice daily to repair the skin barrier
- Applying topical corticosteroids such as triamcinolone 0.1% ointment thinly to affected areas twice daily for 1-2 weeks to reduce inflammation Additional considerations include:
- Avoiding scratching, standing or sitting for long periods, and hot baths
- Maintaining a healthy weight and exercising regularly to improve circulation
- Considering tacrolimus 0.1% ointment for severe cases, as reported in a case study 2
- Using mupirocin 2% ointment if infection is present, as part of a comprehensive treatment plan 1 It is essential to note that stasis dermatitis is a progressive disease with serious secondary complications, and challenges in diagnosing patients may have both short- and long-term consequences 1. Therefore, accurate diagnosis and effective treatment are crucial to improve patient outcomes and reduce the burden of disease.