Stasis (Venous) Dermatitis
Understanding what stasis dermatitis means
Stasis dermatitis, also known as venous dermatitis or venous eczema, develops when poor blood flow in the veins of the lower legs leads to fluid buildup and skin inflammation. It is usually linked with chronic venous insufficiency, where leg veins struggle to return blood efficiently to the heart. Over time, this increased pressure affects the skin, leading to redness, irritation, itch, colour change, and sometimes swelling or discomfort. It tends to develop gradually and is more common in adults.
What stasis dermatitis usually looks and feels like
It commonly appears around the ankles and lower legs. Skin may look red, brown, or darker with a “stained” appearance. It often becomes dry, itchy, flaky, or thickened. Many people notice swelling, heaviness, aching, or tightness in the legs. Skin can become fragile and may break more easily, sometimes progressing to slow-healing leg ulcers if not treated early. On darker skin tones, colour changes may look darker brown, purple, or grey rather than bright red.
Why it happens
Stasis dermatitis is linked to long-standing vein problems, previous blood clots, varicose veins, obesity, reduced mobility, older age, or long periods of standing. Blood pooling increases pressure in the veins, affecting oxygen and nutrient delivery to the skin. This leads to inflammation, irritation, and eventual skin breakdown.
When infection or worsening needs review
Seek medical help if the skin becomes hot, very painful, rapidly worsening, weepy, crusted, smelly, or if fever develops, as infection (cellulitis) can occur. Sudden severe leg swelling, chest pain, or breathlessness require urgent care.
When to see your GP
See your GP if you notice persistent swelling, skin colour change, irritation, recurring sores, or new lower-leg skin changes. Earlier review is important if you have diabetes, immune problems, vascular disease, mobility limitations, or a history of leg ulcers.
How your GP supports assessment and care
Your GP assesses circulation, swelling, skin condition, medical history, and risk factors. Care is individualised, focusing on protecting skin, improving venous circulation, reducing inflammation, and preventing ulcers. Treatment may include skincare plans, appropriate medications, infection treatment when needed, and addressing underlying venous problems.
Important safety note: compression stockings or bandaging can be helpful, but they must be guided by a health professional. They are not “one-size-fits-all,” and incorrect use can be unsafe, especially if arterial circulation is uncertain. Referral to vascular or dermatology specialists may be recommended for wounds, complex disease, or unclear diagnosis.
Lifestyle and circulation support
Simple supportive strategies may help when appropriate:
• elevating legs when possible
• gentle movement and regular walking where safe
• managing cardiovascular health and weight where relevant
• avoiding long periods of standing when feasible
Your GP can personalise this advice to your health situation.
A culturally safe note about appearance
Stasis dermatitis does not always appear bright red. On darker skin, it may appear darker, browner, or purplish-grey. Any persistent change still deserves review.
A reassuring message
Stasis dermatitis is common and manageable. Early assessment and thoughtful care help protect your skin, reduce complications, and support comfort and mobility. You do not need to manage it alone — professional help makes a real difference.
This article provides general health information only and does not replace medical advice. Please speak with your GP for personalised care.