Stasis Dermatitis:
Information for adults

The most important step is to correct the underlying problem causing the fluid buildup. It is also important to understand that the condition is usually a chronic one requiring ongoing care for the rest of one's life.

If the stasis dermatitis is mild and clearly related to leg swelling, which is minimal upon arising in the morning but worse after a day of standing, simple measures can assist the veins and reduce the chance of progression of the disease, requiring medical care.

These steps include:

• Wearing elastic support hose (worn to at least knee height) should be put on in the morning upon arising. Many non-prescription and attractive styles are available for men and women. Although they are initially tight, discomfort is less as the swelling is controlled.
• Raising the legs above the level of the heart when sitting reduces fluid buildup.
• Applying 1% hydrocortisone cream (available over the counter) to the red, itchy areas twice daily.
• Practicing a proper skin-care routine, which includes using only mild soaps or cleansers and applying a moisturizer (such as petrolatum) after each bath on the legs.
• Avoiding the use of other creams or topical antibiotics, as allergic reactions are common.

If the leg swelling does not respond to simple support hose, see the doctor to look for the underlying cause of the swelling. Also seek help if the itchy areas do not improve with self-care.

Evidence of infection includes pain, fever, increased swelling and redness, or open areas accompanied by pus.

Ulcers or sores require medical attention.