Treatment of varicose dermatitis: why an integrated approach is important

Varicose dermatitis – this is a common problem with which patients come to dermatologists for help. As you know, one of the most common vascular diseases is varicose disease, which affects the veins of the lower extremities. It is this pathology, which leads to thinning of the walls of blood vessels, an increase in their permeability and the release of the liquid part of the blood into the surrounding tissues, which becomes the main cause of varicose dermatitis. Today estet-portasl.com talks about how to treat this pathology, depending on what stage it is at.

Treatment of varicose dermatitis at different stages of the disease

Treatment of varicose dermatitis – This is a long and rather complicated process. Since the pathology is chronic, the inflamed skin condition will be maintained until the main problem is eliminated – varicose veins of the lower extremities.

The therapeutic scheme for varicose dermatitis has several main directions: improving venous outflow, eliminating inflammation and swelling of tissues, moisturizing the affected skin and preventing suppuration.

In order to achieve these effects, specific therapy is applied for each of the three stages of the disease.

Treatment of varicose dermatitis:

treatment of varicose dermatitis at the first stage;
treatment of varicose dermatitis in the second stage;
treatment of varicose dermatitis in the third stage.

Treatment of varicose dermatitis at the first stage

The therapeutic regimen for the first stage of varicose dermatitis includes the following conservative treatment methods:

wearing special compression underwear, which eliminates venous congestion and manifestations of varicose dermatitis, and also reduces the degree of varicose veins itself;

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Diosmin-based products that increase the tone of muscle cells in venous vessels and improve venous outflow;
antihistamines in the form of ointments and systemic agents are recommended for relieving itching;
The use of moisturizers is necessary to prevent the formation of cracks in tight skin;
Visicles with clear contents on the legs must be treated with products containing zinc.

Treatment of varicose dermatitis at the second stage

In the second stage of varicose dermatitis, the patient is especially concerned about itching of the skin on the affected areas, which significantly impairs his quality of life. To eliminate such symptoms, it is recommended to use not only antihistamines, as in the first stage of the disease, but also hormonal ointments, which are prescribed in short courses and are applied exclusively to inflamed areas. As before, it is necessary to recommend the patient to wear compression garments and take venotonics. If suppuration occurs on the patient's skin, it is necessary to prescribe combined ointments containing both hormonal and antiseptic agents.

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Treatment of varicose dermatitis in the third stage

The third stage of varicose dermatitis is characterized by the formation of trophic ulcers. At this stage, conservative therapy is no longer enough, and the patient needs surgery. However, in the presence of a festering ulcer, it cannot be carried out. Therefore, a preparatory therapy is prescribed, including:

washing the ulcer and removing dead tissue;
administration of drugs that improve the patency of the vessels of the extremities;
leg compression with elastic bandages;
injection of antihistamines;
if necessary – decrease in blood glucose.