Ointment for eczema on the legs with varicose veins. Varicose eczema on the legs - causes and symptoms, treatment with ointments and folk remedies. Prevention of venous eczema

Pathological processes in the zone of the lower extremities are a fairly common phenomenon among the elderly. As practice shows, women are predominantly affected by the disease, however, cases of manifestation of the disease in men are also not uncommon. Usually the consequence of the progression of the disease is varicose eczema, or the so-called congestive, resulting from insufficient blood circulation. Blood stasis, resulting in damage to the epidermis, as a rule, is characteristic of patients who have undergone an operation to eliminate thrombosis, as well as people suffering from varicose veins.

Varicose veins of the lower extremities are characterized by seasonal exacerbations and recessions, therefore, in the case of timely and professional treatment, it is quite possible to get rid of the symptoms of the disease and achieve a significant remission.

The article provides information about the causes of the manifestation of pathology, its symptoms, and you can also find out which treatment is most effective for varicose eczema.

Note! The basis of therapeutic therapy for varicose veins is the use of traditional methods of treatment, while the use of traditional medicine is allowed as an auxiliary method of curing the disease.

In addition, the material contains information about preventive measures, the implementation of which helps to prevent the possibility of the development of pathology.

Following the advice of dermatologists, you can not only permanently get rid of the manifestations of the disease, but also prevent its occurrence. After all, as you know, preventing the development of the disease is much easier than curing it.

Causes of the disease

Varicose eczema is a dermatological skin disease that develops as a result of impaired blood circulation in the veins located on the lower extremities. In addition, a factor contributing to the progression of the disease is the imperfect operation of the valves, their inability to perform their functions appropriately. The presence of the above circumstances entails insufficient venous outflow, and as a result, the formation of congestion in the venous vessels.

Additional factors contributing to the manifestation of varicose veins include:

the patient is overweight, as a result of which the load on the legs increases significantly, contributing to an increase in pressure in the veins and the formation of blood stasis;
patients suffering from deep vein thrombosis are more susceptible to the disease;
external injuries of the legs, their injury;
hereditary factor;
disorders in the work of the cardiovascular system;
advanced forms of dermatological diseases that appeared earlier and led to the development of complications, for example, in the form of a bacterial infection;
in women, venous eczema may appear during pregnancy, due to excess weight, or immediately after childbirth. You can avoid such consequences if you follow the recommendations of nutritionists;
non-observance of the principles of proper nutrition, violation of the routine, which resulted in malfunctions of the whole organism as a whole;
daily use of uncomfortable shoes, which causes additional stress on the lower limbs. So, the constant wearing of high-heeled shoes contributes not only to foot deformity, but also to the development of varicose veins.

Additional Information! According to dermatologists, stasis dermatitis occurs more often in patients whose parents (one of the parents) suffered/suffer from stasis dermatitis. At the same time, not the disease itself can be inherited, but only a predisposition to its manifestation, therefore, if you follow the recommendations of dermatologists, it is quite possible to protect yourself from the development of pathology.

How does varicose eczema develop?

The development of pathology is carried out in several stages:

violations of the functionality of the valves and the poor condition of the venous vessels entail a cardinal change in the outflow of blood;
the next step is a significant increase in veins, their swelling;
an increase in blood pressure in the veins;
decrease in the thickness of the epidermis of the lower extremities;
the formation of cracks and wounds in the affected areas.

Important! The neglect of the disease can lead to the addition of a bacterial infection, the formation of ulcers. Most often, venous eczema affects the ankle joint.

Stages of varicose eczema

With varicose eczema of the lower extremities, treatment is prescribed depending on the stage of development of the disease. It should be noted that each stage is characterized by different symptoms and signs.

Stages of development of the disease:

initial stage. At this stage, the first signs of impaired blood flow are observed: the skin begins to peel and itch, the color of the epidermis changes;
the second stage of the disease is characterized by swelling of soft tissues, along with peeling of the skin, its erosion begins. The epidermis acquires a reddish tint, as a result of constant scratching, wounds and ulcers appear on the skin;
the third stage of the disease is characterized by the appearance of blisters on the skin, which subsequently open and in their place form the so-called weeping. The danger of this stage is the likelihood of complications (bacterial infection);
the fourth stage is accompanied by inhibition of inflammatory processes. Wounds and ulcers dry up, crust over. As a rule, scars and scars remain in the places of localization of the disease.

Symptoms of varicose eczema

Places of localization of the disease:

shin area;
ankle joints;
foot.

Note! With varicose veins, both legs can be affected at the same time, and each limb separately.

Eczema with varicose veins is characterized by the development of the following symptoms:

discoloration of the skin, which is justified by the development of inflammatory processes;
increase in the temperature of the epidermis;
constant burning in the affected areas;
the appearance of puffiness;
the formation of blisters (vesicles) filled with a clear liquid;
weeping that occurs at the sites of opening of the vesicles;
scars, scars.

Diagnosis of the disease

In the case of the development of venous eczema, treatment is prescribed directly by a dermatologist and only after diagnostic measures have been taken.

There is currently no specific method for diagnosing varicose veins. As a rule, the establishment of the cause of skin lesions is carried out according to the patient's words, as well as after examining the epidermis and studying the nature of the damage. Additionally, the doctor may prescribe tests, in particular for the presence of allergic reactions to external stimuli.

During the diagnosis, the main task of a dermatologist is to establish the causes that provoked varicose veins.

To achieve this goal, the following research methods can be prescribed:

conducting ultrasound dopplerography;
use of radiopaque venography.

Treatment of varicose eczema

With varicose eczema of the lower extremities (photo), treatment is prescribed both medically and surgically. As a rule, surgical intervention is required in advanced cases, when medications and external agents have not had the desired effect.

Traditional methods of dealing with varicose eczema

At the initial stages of the development of pathology, it is recommended to use external topical agents. These include creams, ointments, therapeutic baths, lotions (Skin-Cap cream, Triderm hormonal agent, corticosteroids, Sinoflan ointment, antiseptic external agents).

Antihistamines ("Clarotadin", "Diazolin") help to reduce the inflammatory effect, relieve itching and burning. Also, sedatives are prescribed to calm the nervous system, preparations based on valerian and hawthorn have a beneficial effect.

If complications occur, it is necessary to use antibacterial drugs, in particular Amoxicillin, Suprax, Azitrox.

Important! It is recommended to treat varicose veins with antibiotics only after visiting a dermatologist and establishing the cause of the disease.

Is it possible to treat folk remedies for varicose eczema?

Important! Folk recipes can be used as an additional way to fight the disease. Before using alternative medicine, you should consult with a dermatologist.

The healing of the affected areas is facilitated by:

almond, coconut oil;
healing compositions based on medicinal herbs (burdock, Ivan-tea, chamomile);
decoctions of chamomile, calendula and oak bark help heal ulcers and relieve inflammation.

Effective prophylactic agents that help prevent the manifestation of the disease are:

active lifestyle;
sports;
adherence to the principles of proper nutrition;
use of comfortable shoes.

Note! Even when the first symptoms of the disease appear, movement should not be restricted, it promotes microcirculation and wound healing.

If the first signs of varicose veins appear, you should immediately consult a doctor, self-treatment can lead to undesirable consequences and to a deterioration in health in general.

Video about varicose eczema

According to medical statistics, varicose veins and related diseases, including varicose eczema of the lower extremities, affect about 40-50% of the population living on our planet. Unfortunately, a considerable part of patients ignores the initial signs of this rather unpleasant disease. But very little effort is enough to save yourself from very serious health problems in the future.

What is varicose eczema

Varicose eczema (venous eczema, hyperemic eczema, congestive) is a disease of the lower extremities associated with a violation due to various reasons of trophism (nutrition) of tissues. Most often, this disease affects women from 40-45 years and older.

The development of varicose eczema begins from the moment when the cells of the tissues of the lower leg begin to receive less oxygen for their own nutrition. This gradually leads to impaired blood flow in the limb and the formation of edema. Stagnation in the tissues, in turn, provokes the expansion of the lumen of the capillaries and the attachment of infectious inflammation by creating favorable conditions for the reproduction of pathogens. The pathological process rises from the bottom up, from the ankle joint to the knee.

Depending on the severity, stasis dermatitis is divided into 3 main stages:

Acute - manifestation of foci of inflammation in the area of varicose veins against the background of edema of the limb. The spots may be red or purple. Small blisters and cracks may form on the skin. The patient is haunted by constant itching, especially at night.
Subacute - signs of acute inflammation disappear, the skin dries up and becomes covered with a brown scab.
Chronic - the addition of a bacterial infection, the formation of non-healing trophic ulcers.

In some cases, phlebologists talk about the fourth stage of the disease, in which necrosis of the tissues of the limb is observed.

Causes of pathology

The most important reason for the development of venous eczema is a violation of the blood circulation of the vessels of the lower extremities. This can happen due to dysfunction of the vascular valves, due to which the blood normally does not have the ability to reverse, i.e. movements in the vessels in the opposite direction.

The lack of normal blood circulation in the limb leads to the impossibility of outflow of blood from the periphery to the center, resulting in deformation (expansion) of the veins, in which the pressure gradually increases. Increased pressure in the vessels, in turn, leads to an increase in the permeability of the walls of the vessels and the ingress of blood elements outside the circulatory system. Tissue trophism is disturbed, cells begin to suffer from a lack of oxygen.

Here are the main factors that increase the risk of developing varicose eczema:

pathological changes in the vessels, including those due to diabetes;
overweight;
heredity;
deep veins;
chronic dermatoses of the skin of the lower leg;
numerous pregnancies and childbirth;
cardiovascular insufficiency;
shin injuries;
elderly age.

Symptoms of the disease

The symptomatic picture with congestive dermatitis is quite bright:

rapid muscle fatigue;
general weakness;
pain and discomfort in the legs;
itching and cramps, especially at night;
swelling, especially in the ankle joint;
change in skin color - it acquires a color from lilac-red to dark brown;
on the skin there are foci of weeping epidermis, small wounds, cracks and trophic ulcers that practically do not heal.

The presence of trophic ulcers indicates the transition of the disease to a severe stage, in which treatment becomes much more complicated.

Diagnosis and treatment of pathology

Diagnosis of stasis dermatitis is not particularly difficult. In most cases, the diagnosis is established on the basis of an external examination of the limbs and an analysis of the patient's complaints. Sometimes it may be necessary to conduct skin tests to determine the causative agent of the inflammatory process.

Treatment of varicose eczema is primarily aimed at normalizing blood circulation in the legs and strengthening blood vessels. In addition, as part of complex treatment, antibacterial and anti-inflammatory therapy is carried out. Surgical intervention is used only in cases where conservative therapy fails and removal of varicose segments is required.

Medical treatment

Treatment of varicose eczema is carried out with drugs belonging to various pharmacological groups:

to get rid of edema, diuretics are used that remove excess fluid from the body (Veroshpiron, Furosemide);
to combat itching - antihistamines (Claritin, Suprastin, etc.);
to increase the resistance of capillary walls and strengthen blood vessels - angioprotectors (Troxevasin);
to fight infection - broad-spectrum antibacterial agents, hormonal (steroid) anti-inflammatory drugs and topical antiseptics (salicylic and boric ointments);
for general sedative therapy, light tranquilizers (Novopassit, Barboval, Adaptol, etc.) can be used.

Physiotherapy for legs

For the treatment of varicose eczema, in addition to drugs, a phlebologist can use physiotherapy methods. First of all, the patient is recommended to wear an elastic bandage (compression stocking) if there are no weeping areas on the skin. If such foci are present, special bandage dressings impregnated with therapeutic solutions are used.

With severe edema of the lower leg, gradient vacuum therapy can give a good effect - a hardware technology that gently “squeezes out” stagnant excess fluid (lymph) from the ankle upward and restores normal lymph and blood circulation.

To improve lymph and blood circulation in the legs, the patient is recommended to perform simple exercises: while lying on his back, raise the legs one by one, bend at the knees, rotate the ankle joints clockwise and in the opposite direction, while standing on the floor, rise and fall on the toes.

With dry eczema, the patient is shown water procedures - swimming in the pool and a contrast shower, which perfectly strengthens blood vessels.

Traditional medicine for the treatment of varicose veins and venous eczema

It should be noted that folk recipes are quite effective for the treatment of stasis dermatitis, although they can be used only after consulting a doctor so as not to aggravate your condition. Here are a few of these remedies that can be easily and simply prepared at home:

Raw potato compress. Evenly distribute grated potatoes on a piece of bandage or gauze, apply to the affected area and cover with several layers of bandage. Keep the compress for no more than half an hour. The course of treatment can continue until the result appears.
Wormwood compress. Mix a tablespoon of milk with the same amount of dry powder from wormwood leaves, apply a thick layer (up to 1 cm) on a gauze pad and apply to a sore spot for 20-25 minutes. The course of treatment is up to 3 weeks.
A decoction of hop cones. Pour a tablespoon of raw materials with boiling water and heat in a water bath for 10-15 minutes, then let the mixture cool, strain and take 1/3 cup three times a day 20 minutes before meals. The decoction can also be used for compresses.
Cabbage leaf wrap. Lightly beat off a clean leaf of white cabbage until soft, apply it to the inflammation site and fix it with a bandage. Sheets need to be changed daily. The course of treatment is until the result is obtained.

Diet

Diet for varicose eczema plays an important role, since a properly composed diet significantly affects the condition of the vessels and the consistency of the blood. In addition, the immune system of the body, which helps to cope with the disease, depends on the set of products. So, the following products must be present on the menu:

kiwi, oranges, tangerines, lemons, grapefruits, black currants - sources of vitamin C, which strengthens the vascular walls and helps reduce swelling;
any seafood - mussels, oysters, shrimp, sea kale, containing substances that prevent the expansion of the vascular walls;
fruits and vegetables - products with a high content of plant fibers that ensure the rhythmic work of the gastrointestinal tract;
onions, garlic, ginger, cinnamon, olive oil - products that help thin the blood.

Products required for consumption in the photo

Seafood - prevent stretching of the vascular walls Olive oil - promotes blood thinning Citrus fruits are a source of vitamin C
Vegetables and fruits - rich in plant fibers that regulate the activity of the digestive tract

Fried, spicy, smoked dishes should be excluded from the diet, which contribute to an increase in blood viscosity, which can result in thrombosis. In addition, it is recommended to minimize the use of salt, which retains fluid in the tissues of the body and contributes to the development of edema. If you are overweight, you must also limit the use of carbohydrate-containing foods - rich pastries, confectionery, etc.

Not everyone knows that chronic constipation significantly affects the increase in pressure in the vessels of the legs, and therefore creates an additional load on the dilated veins. The fight against constipation is a prerequisite for the treatment of varicose eczema.

General hygiene rules

The correct behavior of the patient during the treatment of varicose eczema plays a significant role. It should be borne in mind that in order to successfully fight the disease, it is first necessary to normalize blood circulation in the extremities and reduce the risk of congestion. To do this, you must follow simple rules:

several times a day it is recommended to take a horizontal position, placing a roller under your feet, or at least sit, raising your legs on a chair, in addition, the patient is prohibited from all activities that require a lot of walking and especially standing;
before getting out of bed in the morning, you need to wear special compression stockings - stockings or leggings;
choose clothes that come into contact with the skin of the legs, only from natural fibers;
refuse to wear shoes with high heels, boots with tight tops and golfs with tight elastic bands;
monitor the condition of the skin of the legs - prevent drying and injury of the epidermis.

Prognosis and prevention (eczema and venous diseases)

With timely treatment, the prognosis of congestive dermatitis is favorable. Otherwise, the disease can go into a chronic phase with a deep violation of the trophism of the tissues of the lower leg, and over time, to their extensive necrosis.

Prevention of varicose eczema should begin with prevention, which is its basis. Persons with a predisposition to the appearance of dilated veins in the legs should strive to comply with the following rules:

avoiding alcohol and smoking;
balanced diet;
body weight control;
developing the habit of raising your legs on a chair or stool several times a day;
light self-massage of the lower legs in the morning and before bedtime;
active lifestyle - swimming, exercise, cycling;
hygienic foot care - a contrast shower, hydromassage, softening the skin of the legs with creams or oils;
giving up the habit of sitting in a cross-legged position;
taking care of strengthening the walls of blood vessels - a doctor will help you with this (sometimes it is enough to take a course of treatment with Askorutin);
correct selection of shoes - the heel is not higher than 4–5 cm;
refusal to work, in which you have to stand a lot.

The raised legs posture is very beneficial - it allows stagnant fluid to move away from the limbs.

Video: causes of congestive dermatitis of the lower extremities

Varicose eczema of the legs is a disease that always occurs against the background of varicose veins. The well-known truth, tirelessly repeated by physicians, that a disease is much easier to prevent than to cure, is absolutely true in this case as well. Timely therapy gives good results and one should not start a disease that can at least seriously reduce the quality of life of the patient, and at the maximum - lead to his disability.

Varicose eczema

This is one type of chronic skin disease that affects the legs. This type of eczema results in skin changes that occur in the foot as a result of "stagnation" of blood due to insufficient venous return.

Varicose eczema, as a rule, develops in older people suffering from varicose veins of the lower extremities. This is due to the fact that prolonged stagnation of venous blood in the skin leads to a weakening of its protective properties and the development of inflammation. Varicose eczema appears on the skin of the legs and looks like extensive foci of reddening of the skin with uneven edges, on which there are bubbles, crusts and cracks. Itching with varicose eczema is pronounced, intensifies after contact with water.

The disease begins with erythema and mild desquamation, very often over the medial malleolus, next to the varicose veins. Characterized by itching. Over time, hyperpigmentation develops in the lesion due to the release of erythrocytes from the vascular bed and the deposition of hemosiderin.

In the acute stage, varicose eczema is accompanied by weeping and crusting; in the chronic stage, sclerosis of the skin and subcutaneous tissue comes to the fore.

The disease is often complicated by secondary infections and contact dermatitis. In advanced cases, trophic ulcers form. Trophic ulcers heal slowly and are difficult to treat. It is extremely important to give the affected limb an elevated position. Necrotic tissue is removed, after which a tight bandage is applied. Glucocorticoids are contraindicated, as they slow down the epithelialization of ulcers. Almost all ulcers are contaminated with bacteria, but secondary infections do not always occur. If this happens, prescribe antibiotics inside. Ulcer healing can take several months, sometimes skin grafting is required.

The cause of varicose eczema is poor circulation in the legs. It often develops with varicose veins, due to the following reasons:

The valves in the veins of the legs are weakened and cannot function normally,

This allows blood in the superficial veins to flow in the opposite direction,

Superficial veins become enlarged due to reverse current,

The pressure in the veins increases and causes the surrounding skin to swell,

Insufficiency of venous outflow leads to an increase in pressure in the capillaries, as a result of which the liquid part of the blood and its cells can flow out of the capillaries. As a result, red blood cells die. However, it is not clear why some people with varicose veins develop varicose eczema and others do not.

The skin is dry and itchy. But this is not yet the main problem.

Among varicose eczemas affecting the legs, there is eczema affecting the lower leg. At the same time, the skin of the lower leg dries out, becomes red and exfoliates. There is severe itching, and scratching can cause bleeding, which contributes to infection.

This disease is often observed in older women or is the result of deep vein thrombosis, which causes swelling. Varicose eczema affects middle-aged and elderly people. Factors that increase the risk of developing eczema are: the presence of varicose veins and being overweight.

The first sign of varicose eczema is mild itching of the skin over and around the area of the varicose veins. The area becomes patchy, scaly, inflamed and itchy. The skin may be brown.

Severe skin conditions can be caused by vein problems in the legs. Usually, the skin disease starts near the ankle and can spread down the leg and reach the middle of the lower leg. The skin may be brown and very hard to the touch.

Varicose veins are called veins that are enlarged and tortuous. The term usually refers to veins in the leg. When veins become varicose, their valves stop functioning properly. This allows the blood to flow back and enlarge the veins even more. Varicose veins are most common in the superficial veins of the legs, which are subjected to high pressure when standing.

Some people develop red inflammation and may be tender to the touch. Doctors call it "lipodermatosclerosis". Its signs:

Itching or pain in the leg

Feet, ankles, or other areas may be swollen

The presence of open wounds, ulcers,

The skin becomes thin, brown, with possible skin lesions (spots), red spots, superficial skin irritation, darkening, thickening of the skin at the ankles or higher parts of the leg.

The skin is thinned and ulcerated in some areas.

Cracks and poor skin conditions predispose to bacterial infection and cause the infection to spread in the foot. If the skin condition worsens further, venous ulcers may form.

A medical examination of the affected areas is sufficient to make a diagnosis. If in doubt or if additional tests are needed, the patient may be referred to a dermatologist.

The main principles of treatment are the elimination of irritating factors, the appointment of emollients, as well as ointments or creams with medium-strength glucocorticoids, and the fight against swelling of the legs. Patients are advised to keep their legs elevated as often as possible and wear elastic stockings that create a pressure gradient from the foot to the thigh of at least 30–40 mm Hg. Art. These stockings are more effective than intermittent pneumatic leg compression.

Treatment includes:

Improvement of blood circulation,

Improving skin condition with emollients,

Improving the condition of the skin with steroid creams that relieve inflammation.

Proper application of creams is one of the key factors in the successful treatment of eczema.

Moisturizing. You can treat and prevent dry, flaky, and itchy skin by regularly using emollients. These include: soap substitutes, bath oils, and general moisturizers. They reduce water loss from the epidermis (outer layer) of the skin by covering it with a protective film. This keeps water in the skin where it is needed. They also help prevent infection and other substances from entering the tissues.

Emollients very safe and you won't get an overdose. They are not active drugs and are not absorbed through the skin into the body. A range of emollients can be purchased at the pharmacy. It is necessary to consult a pharmacist for advice on the various products and their use. Tell your pharmacist if you are allergic to peanuts, as some products contain peanut butter.

Steroid creams. Topical corticosteroids (steroids) may be used to treat the inflamed area. It is necessary to consult a doctor about this or that type of cream, as some creams can worsen the condition of varicose eczema if the skin is infected or ulcerated. Use steroid creams as prescribed by your doctor. Creams reduce inflammation. Some people are afraid to use steroid creams for fear of side effects, but as long as the cream is used infrequently and not too heavily, it is completely safe.

Compression stockings. Compressive (supportive) hosiery may be suggested by the doctor. They help improve blood circulation in the legs. They should be worn all day and are only removed when showering.

At night, the leg should be raised above the level of the thigh, which will prevent the accumulation of fluid in the veins.

Lipodermatosclerosis is evidence that problems with the veins lead to serious damage to the skin. If not treated correctly and on time, an ulcer may form on the leg.

Compression vacuum The technology uses a multi-chamber pneumatic sleeve with overlapping cells that gently drains the lymph from the legs. By stimulating lymphatic flow, the technology helps to reduce areas swollen from fluid.

Complementary treatments: alternative treatment used to treat eczema, borage oil, Chinese medicinal herbs, evening primrose oil treatments, homeopathy.

Exercises:

If you stand or sit for too long, fluid accumulates in the lower legs. It is important to move as much as possible. Walking promotes muscle work and promotes blood flow through the veins to the heart,

Get on your knees more often

Bend your legs regularly

Do exercises, rising on your fingers up,

Sit with your leg elevated to chair level or higher to reduce swelling.

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Varicose eczema is a chronic skin disease that develops against the background of problems with venous circulation or deep vein thrombosis.

Dermatitis usually affects the epithelium over the veins, gradually spreading to the ankles and lower legs. In order for the treatment to be effective, it is necessary to normalize the venous blood flow and keep the symptoms of the disease under control.

What it is

This is a chronic pathology that mainly affects the skin of the lower extremities and is accompanied by venous insufficiency, severe swelling, scratching.

Most often, the disease is detected in middle-aged and elderly women.

This is due to the influence of additional factors. These include deep vein thrombosis, excess weight, heart disorders, etc.

The reasons

Varicose eczema of the lower extremities is the most common. Its appearance is due to the presence of congestion in the vessels and a violation of the venous outflow of blood.

If the disease develops against the background of varicose veins, provoking factors may be:

stress;
neurotic states;
infection with viral infections or fungal microorganisms.

The risk group includes people who lead an insufficiently active lifestyle, have a tendency to edema and are overweight.

So, the predisposing factors include the following:

belonging to the female sex;
age over 50 years;
a large number of pregnancies, their severe course;
the presence of excess weight;
diseases of the heart and blood vessels;
traumatic injuries of the legs;
infectious and fungal diseases;
hereditary predisposition;
problems in the work of the nervous system;
disturbances in the functioning of the endocrine system;
weakened immunity;
the presence of skin diseases.

There are certain factors that lead to increased manifestations and make this process irreversible:

the use of food additives, dyes and preservatives;
house dust;
pet hair;
contacts with woolen things;
wearing rubber shoes;
wrong choice of cosmetics;
aggressive impact of external factors;
animal and insect bites.

Pathogenesis

With the development of varicose veins, the reverse outflow of venous blood is disturbed. This is due to the weakness of the venous wall and an increase in the load on the limbs.

With this disease, blood stasis occurs, which leads to pathological processes in the veins and nearby tissues. vessels become wider and protrude above the surface of the skin.

In this case, the liquid part of the blood seeps through the venous wall, which leads to local edema. At first it is transitory, but then it becomes permanent.

As a result of these processes, the breakdown of hemoglobin occurs in the tissues.

When skin receptors are irritated by toxins, severe itching occurs, which leads to scratching and damage.

With problems with blood circulation, oxygen starvation of tissues occurs.

The skin changes structure, is easily damaged, and is difficult to recover. In this case, the epithelium is susceptible to infections - mycoses and pyoderma.

With constant swelling, the fluid comes out, which causes the appearance of weeping areas. This further reduces the protective functions of the skin.

Symptoms

With the development of varicose eczema, the skin in the area of congestion begins to itch strongly. At the same time, it is painted in red or purple hues.

The disease provokes the appearance of many vesicles in the affected area. After the bubbles open, itchy wounds appear in their places.

At the same time, varicose eczema provokes pronounced swelling of the legs, since the degree of vascular patency is significantly reduced.

A few weeks after the onset of the development of varicose eczema, the ulcers gradually dry up and decrease significantly.

As a result of these processes, extensive pigment spots of dark brown color appear. Folds with flaky scales and many small wrinkles form on their surface.

Varicose eczema has a gradual development. In total, there are 4 main stages of the progression of the disease. Already at the second stage, a person has an acute violation of the outflow of blood, and a lot of fluid accumulates in the connective tissue.

With eczema, a person is faced with general weakness, the appearance of a convulsive syndrome, pain and itching, and rapid muscle fatigue.

The following factors lead to the development of a common form of the disease:

violation of blood flow through the vessels;
problems in the operation of vascular valves;
change in blood flow.

The unsatisfactory condition of the epidermis may be the result of infection with bacterial microorganisms, which are often localized in the area of eczema.

As a result, the pressure in the vessels increases, the epidermis swells and eczema develops.

A common form of this disease is accompanied by such manifestations:

pain in the limbs;
severe skin itching;
the appearance of open wounds on the skin;
thinning of the epidermis;
staining of the affected areas of the skin in a dark brown color;
the appearance of red spots and irritation on the skin.

If varicose eczema was not detected in time, the pathology becomes chronic.

In this case, the following symptoms occur:

the appearance of sclerotic formations;
development of trophic ulcers - are open wounds that heal with great difficulty.

Why do legs hurt more often?

Such eczema in most cases first affects the lower leg.

This is due to the fact that it is in this zone that the least amount of oxygen enters.

As a result of such processes, blood flow is disturbed, it can change its direction. After a certain time, the leg swells.

With an increase in vascular pressure:

the lumen in the capillaries increases;
pathogenic microorganisms actively multiply;
purulent infections and ulcerative lesions appear in the vascular networks.

After some time, large swelling occurs on the legs, which leads to the development of varicose eczema.

Diagnostics

It is quite easy to identify this pathology, since varicose eczema is caused by a violation of the venous outflow during the development of varicose veins. To diagnose the disease, urine and blood tests are performed.

A study is also performed that helps to determine the state of varicose veins - dopplerography of the veins.

Thanks to these procedures, the doctor can choose the most effective treatment.

Video: Consultation with a doctor

Treatment methods for varicose eczema

Treatment of varicose eczema on the legs is a rather lengthy process, since it is highly complex. First you need to determine the causes of the development of the disease, and then begin therapy.

Treatment should solve such problems:

improve blood circulation;
normalize the condition of the affected areas of the skin with steroid creams;
restore the skin with emollients.

Medical preparations

The main task of drug treatment is to eliminate provoking factors, fight puffiness and soften the skin through special means.

Drug therapy consists in the use of phlebotonics and phleboprotectors. Such drugs are required for the treatment of the underlying disease.

To reduce the itching sensation, your doctor may prescribe antihistamines:

clemastine;
erius;
loratadine.

At the same time, you can drink sedatives that help calm the nervous system.

It is useful to take hawthorn or valerian extract. Sometimes it becomes necessary to use tranquilizers.

In more severe cases, a doctor may prescribe broad-spectrum antibiotics. Typically, such drugs are used to treat affected areas of the skin.

Ointments and creams

Local treatment is selected depending on the nature of the lesion of the skin.

If a person has a weeping form of eczema, the use of drying creams that have a disinfectant effect is indicated. Emulsions and lotions may also be used.

If the patient has a dry form of the disease, an ointment with a fatty base will help.

A specific drug should be prescribed by a phlebologist after consulting a dermatologist.

Steroid creams can be used to treat the affected areas to help control inflammation and relieve itching.

The most effective means include:

elokom;
advantan;
locoid.

Zinc-based mixtures or a solution of Burov's liquid are also prescribed. With the help of such drugs, you can also cope with the manifestations of eczema.

In addition, agents that have a drying effect can be effective. The composition of such drugs usually includes:

ichthyol;
naftalan;
silver nitrate.

As an addition to the main therapy, emollients and moisturizers are prescribed. They help maintain the normal condition of the skin and prevent cracking.

The composition of such cosmetic products may contain:

urea;
salicylic acid;
dexpanthenol.

Compression stockings

Depending on the characteristics of the course of the disease, the doctor may prescribe therapy with the help of special knitwear.

They produce a compressive effect and help improve blood circulation in the legs.

Products must be worn throughout the day, removing only while taking a shower.

It is important to consider that at night the leg should be raised above the level of the hips so that fluid does not accumulate in the veins.

The use of compression stockings allows you to achieve good results and improve the patient's condition in the development of varicose eczema.

Physiotherapy

In the arsenal of modern physiotherapy, there are many effective tools that help to cope with varicose eczema. The choice of a specific technique is carried out by a phlebologist together with a physiotherapist.

The most common physiotherapy procedures include the following:

electrophoresis;
darsonvalization;
exposure to laser and magnetic fields;
hydrotherapy;
intermittent pneumocompression;
pulsed magnetotherapy using eddy currents;
balneotherapy;
oxygen baths;
ozone therapy;
ultraviolet irradiation;
phototherapy.

As a rule, physiotherapeutic agents are combined with conservative therapy and the use of folk remedies. Thanks to this, it is possible to restore the skin and blood vessels much faster.

exercise therapy

To achieve strengthening of the muscle tissue of the legs and cope with congestion, you need to do therapeutic exercises.

The most effective exercises include the following:

To begin with, you should walk on the spot, without taking your socks off the floor.
Sit on a chair, stretch your legs and put pressure on the floor with your foot, making maximum effort.
Get on the floor and roll from toe to heel.
Stand on your toes and move sharply to your heels, trying to hit them on the floor. Perform 20 movements, then take a 5-second break and repeat 20 times.
Lie on your back. In this position, bend and unbend the legs at the ankle.
Do the bike exercise. Perform in a horizontal position, while the legs should not rise too high from the floor.
Lie on your back, while exhaling, raise your straight legs up, while inhaling, lower them.
Lie on your back. By means of hands, in turn, pull your knees to your chest.
Lie on your back, place your arms along the body. Raise straight legs above the floor and proceed to the exercise "scissors". Make movements until a slight fatigue appears.
Lie on your back, put a roller under your feet to achieve an angle of 20 degrees. Relax and lie down to rest your legs. Thanks to this, it will be possible to unload the veins and normalize the outflow of blood.

Charging should be done 2 times a day. The duration of the exercises is 15-20 minutes. In addition, it is useful to take walks every day and take a contrast shower for the legs.

Folk recipes

Treatment of varicose eczema is quite possible to carry out with folk remedies. However, the use of such prescriptions should be part of complex therapy.

The most effective means include the following:

Foot baths with a decoction prepared from white willow bark. To do this, pour a couple of tablespoons of chopped raw materials into 500 ml of boiling water and cook over low heat for 20 minutes. The duration of the procedure is at least half an hour.
Tincture of birch buds. To prepare the composition, fill 3/4 bottles with a capacity of 0.5 liters with birch buds, then top up with vodka and leave to infuse for 1 week. To eliminate the pain syndrome, treat the legs with the resulting remedy. You need to do this 2-3 times a day and before going to bed.
Cabbage leaf. It needs to be beaten off a little and treated with vegetable oil on one side. Apply the resulting product to the affected areas and leave for at least a day. The course of therapy should be at least 1 month.
Fresh potato casserole. This tool is recommended to be used for compresses, which are applied to the areas affected by ulcers. The composition is left for 4-5 hours in the daytime, as well as all night.

The role of nutrition in recovery

To make the treatment more effective, you need to limit your intake of fluids, salt, and refined carbohydrates.

The basis of the diet should be vegetable and sour-milk dishes.

By improving bowel function, it is possible to cope with the symptoms of the disease. Also, the menu should not contain food allergens.

Therefore, it is worth excluding the consumption of such products:

eggs;
whole milk;
citrus;
chocolate;
spices;
mayonnaise;
bird;
mushrooms;
legumes;
red wine;
seafood;
tomatoes.

Which doctor to contact

Most people with symptoms of eczema go to a dermatologist.

However, in order to cope with the factors that provoked it, you need to consult a phlebologist.

This doctor will select the optimal therapy that will help improve the prognosis.

Prevention

To prevent the development of this disease, it is recommended to lead a healthy lifestyle, eliminate bad habits, eat right and follow the rules of personal hygiene.

Additional preventive measures include the following:

physical activity;
balanced diet;
proper skin care;
maintaining the functioning of the immune system;
complete rest;
refusal of synthetic and woolen clothes;
drinking enough water.

Varicose eczema is a rather serious pathology that gives people a lot of inconvenience and is very difficult to treat.

In order for the therapy to be effective, it is very important to eliminate the causes of the development of the disease, and for this you need to consult an experienced doctor.

Varicose eczema occurs as a complication of the underlying disease - varicose veins in the legs. Stasis dermatitis affects older and middle-aged people. It has a chronic course and may not temporarily declare itself, but when provoking factors appear, it manifests itself in the form of another exacerbation.

Why does eczema occur with varicose veins?

The main reason for the appearance of pathological changes in the skin is a violation of venous blood flow in the superficial vessels. In the tissues of the lower extremities, congestion develops associated with a lack of oxygen and nutrients, the accumulation of harmful metabolic products. The skin also suffers from this.

The following factors can provoke the onset of eczema:

excess body weight, which creates an additional load on the lower limbs and contributes to stagnation of blood in them;
superficial and deep leg injuries leading to damage to the skin or muscles and blood vessels;
deep vein thrombosis, in which venous outflow is further reduced;
heart failure, contributing to stagnation of blood in the vessels;
skin diseases (dermatitis and dermatosis), secondary infection of skin lesions, etc.;
wearing uncomfortable shoes that disrupt natural blood flow;
allergic reactions and malnutrition.

Due to a violation of the trophism of the skin, i.e., supplying it with nutrients and oxygen, dystrophic changes begin in the organ: the skin becomes thinner and loses its ability to recover. Outwardly, it looks like the appearance of small cracks, wounds, inflamed areas. With the uncontrolled development of the disease, it can lead to the formation of trophic ulcers, so you need to be able to identify the symptoms of the pathology in time and contact specialists.

How to determine the development of eczema with varicose veins

The first sign that should alert a person with varicose veins in the legs is itching in the region of the venous nodes. Irritation appears in the evening, intensifying at night. Sometimes the legs affected by varicose veins itch at night, making it difficult to rest. On the surface of the skin at this time, no damage is yet noticeable, but when combed, the skin flakes off, forming many small dry scales.

If this symptom is left unattended, then after a while noticeable signs appear:

redness and inflamed appearance of the skin over varicose veins, later the shade of the affected area becomes purple or purple;
small bubbles with transparent contents (vesicles) appear, which open on their own;
vesicles are very itchy, and scratching them only increases inflammation and leads to the appearance of weeping areas;
the crusts that form on the affected surface are rough;
the skin in the damaged area becomes thickened, covered with brownish or brown spots.

Skin changes are accompanied by swelling of the limb. As the disease progresses, the skin becomes sclerosed, thinner, and translucent. At this stage, the disease becomes chronic, aggravating from time to time.

Treatment of varicose eczema

In the treatment of varicose eczema, a whole range of measures is used. Therapy is aimed at eliminating local symptoms of skin disease and correcting internal disorders. Self-treatment most often does not have the desired effect, but can lead to even more advanced and complicated forms of the disease: tissue necrosis or a trophic ulcer of the leg.

Symptomatic drugs

When making a diagnosis, the phlebologist will prescribe symptomatic treatment. Its purpose is to relieve discomfort and restore the inflamed area of \u200b\u200bthe skin. For this, antihistamines (Claritin, Cetirizine, Erius, etc.) can be used, with severe inflammation - steroid drugs. The doctor prescribes the dose and regimen individually. Ointments or other topical medicines based on benzocaine, camphor, or menthol may be prescribed to relieve itching.

With eczema in the acute stage, the human nervous system also suffers. The doctor may recommend taking sedatives: pharmacy tinctures of valerian, hawthorn, tablets with valerian extract, etc. Sometimes prescribed and tranquilizing drugs.

Accession of a secondary infection is fraught with the development of severe inflammation of the skin and the formation of ulcers. If such a problem occurs (the infection penetrates very easily into the wounds on the legs), the doctor may recommend taking antibiotics. The treatment regimen is selected only by a specialist.

You can not take the medicine on your own or stop taking the drug prescribed by the doctor ahead of time.

Treatment of infected wounds, if a person has venous eczema, is performed with local antiseptics. Doctors recommend benzoyl peroxide, Naftalan, Ichthyol, Clotrimazole or Silver Nitrate for treatment, as well as preparations with their components (Ichthyol, Hydrocortisone ointment, Triderm, Skin-Cap, etc.). These drugs have an antiseptic effect and at the same time dry out weeping areas and opening blisters.

For the treatment of inflammation on the skin, other drugs can be prescribed:

steroid ointments (Elokom, Advantan, etc.);
Burov's liquid;
preparations containing zinc (ointments, creams).

After the acute inflammation is removed, and the pronounced ulcers disappear (subacute stage of the disease), the doctor will prescribe keratolytic drugs. Their action is aimed at moisturizing and softening the affected area of the skin. Among such means:

Losterin - cream with plant extracts, dexpanthenol and urea;
ointments with retinol;
extracts of medicinal herbs (motherwort, yarrow, etc.);
creams with vegetable or animal fats (mink, spermaceti, etc.).

Along with the treatment of the skin, the treatment of the underlying disease is also performed.

Remedies for varicose veins for stasis dermatitis

To normalize blood flow, ensure the outflow of lymph from the tissues, relieve swelling and provide normal nutrition to the healing skin, doctors also treat varicose veins. For this, a wide range of modern phlebotonics and phleboprotectors are used. The drugs have an effect on the venous wall, making it more elastic and allowing the vessels to better perform their functions.

One of the methods of treating eczema with varicose veins is massage. The doctor can also prescribe exercise therapy, recommend visiting the pool, walking. These measures are aimed at eliminating congestion - the main reason why varicose eczema occurs on the legs.

You should not neglect the advice of a doctor to wear compression underwear. Elastic stockings and bandages are used to increase blood flow and normalize the microcirculation of fluids in tissues, ensure effective lymph outflow and relieve swelling. For simultaneous skin care for eczema in the subacute and chronic stages (in the absence of weeping areas), special knitwear is prescribed (for example, Unna bandage bandages). The material of the product is impregnated with zinc gelatin or Burow's liquid. Due to this, the bandage has not only a supporting effect, but also acts as a local external remedy for eczema.

Treatment with traditional medicine

In folk medicine, there is a whole arsenal of means to combat skin diseases. But the treatment of varicose eczema on the legs with extracts of medicinal plants should not be used as an alternative to medicines. Only by correctly combining both methods and maintaining the external symptomatic treatment of varicose veins, you can achieve a good result.

When varicose eczema of the lower extremities acquires a subacute course, you can take care of the skin with an ointment from an herbal extract with anti-inflammatory and healing effects. You will need the following ingredients:

20 g (2 tablespoons) dry burdock root;
20 g of chamomile;
20 g of Ivan-tea herb;
20 g of hoof root;
1 st. l. butter;
4 glasses of water;
glycerol.

Grind vegetable raw materials, pour water and bring to a boil. Add butter. Prepare a water bath, place a pot of decoction of herbs in it and continue heating the mixture until a thick mass is obtained (this will take several hours). Strain the extract, squeeze out plant residues. Cool the resulting liquid and mix with an equal volume of glycerin.

The ointment can be used immediately after preparation, it must be stored in a buried container in the refrigerator.

In addition to external treatment, take a decoction of burdock root inside. The plant promotes the outflow of lymph from the limbs affected by varicose veins and relieves swelling well. To prepare a decoction, take 15 g of dry chopped burdock root per 1 cup of hot water. The mixture must be heated at a low boil for 10 minutes, and then insisted for 2 hours in a thermos. Take a decoction of 1 tbsp. l. 4 times a day.

There are other remedies to cure eczema:

Natural village milk should be left in a jar for 5-6 hours (in the refrigerator). After that, sivki will gather on top, which must be removed and used to make an ointment. To 1 tbsp. l. cream add 1 fresh chicken yolk and 100 g of birch tar (can be bought at a pharmacy). The ointment is applied to a clean rag and applied to the area affected by eczema. It must be fixed with a bandage and changed 1-2 times a day.
Cabbage leaves are used to treat skin with sclerotic changes, soften keratinized areas in the healing phase of ulcers. They need to be doused with boiling water to give plasticity and destroy microbes, cut off a hard vein. Wrap the sore leg with the prepared leaf, fix it with a bandage and change as the cabbage dries up (1 time in 1-2 days). Repeat the procedure until the skin condition improves.
To relieve itching, compresses are made from raw potatoes. A gruel from the pulp of a vegetable should be applied to sore spots and covered with a cloth. Hold the compress for 30 minutes and apply as needed.

Before using folk remedies, you should consult with your phlebologist, as there are effective medications with a similar effect.

How to prevent eczema from developing

In order not to have to treat such an unpleasant disease, eczema with varicose veins should be tried to prevent. Prevention of the disease is simple:

To improve blood circulation and nutrition of the skin on the legs, you should try to move more: walk, ride a bike. During sedentary work, every 1-2 hours you need to do a warm-up: bend and straighten your legs, raise them parallel to the floor, etc.
If swelling appears by the end of the day, you can lie down for 10-15 minutes, raising your legs.
Do not wear high heels all the time. The ideal option is a 4-5 cm heel.
You can prevent dry skin on the shins by using a special soap without alkali when washing your feet and taking a shower.

An excellent preventive measure is maintaining an active lifestyle, taking vitamin preparations and good nutrition.

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