Recurrent nature of varicose eczema. How to treat varicose eczema of the lower extremities Video: eczema, dermatitis - about the general principles of treatment

Vein pathology lower limbs very common, especially among older people. Dilatation of leg veins entails not only cosmetic defect in the form of protruding vessels, but also trophic disorders, which are accompanied by skin lesions - varicose eczema occurs.

Eczema means inflammatory process in the skin, usually occurring chronically, with exacerbations and periods of remission. The origin of this inflammation also determines the type of eczema. In addition to the primary (idiopathic), there are several other varieties that accompany as a complication various pathologies– injuries, infectious lesions.

Varicose dermatitis is considered a variant of microbial eczema, when, against the background of microcirculation disturbances, the introduction of microorganisms, or a reaction to ongoing drug treatment, inflammatory foci appear on the skin, up to ulceration.

After the ulcers have healed or surgical treatment varicose veins eczema usually goes away on its own.

The peculiarities of microbial (varicose) eczema are the asymmetrical location of the lesions, which have fairly clear boundaries, and along their periphery the epidermis peels off in the form of an elevation. Due to the fact that varicose veins affect the lower extremities, this type of eczema also occurs on the legs - where there are dilated vessels, ulcers, blisters, and healing areas in the form of scars appear.

Causes and stages of varicose eczema

Venous eczema occurs more often in older people, among patients more women, many, in addition to venous pathology, have accompanying illnesses– diabetes, obesity, atherosclerosis.

Factors predisposing to eczema are similar to those for - excess weight, long-term static loads, pregnancy and childbirth, leg injuries, heredity. May contribute to skin damage chronic infections, decreased immunity, metabolic diseases, cardiac dysfunction.

There are several stages of development of venous dermatitis:

At the first stage, initial signs of trophic disturbances appear - peeling of the skin, discoloration.
During the second stage, swelling of the soft tissues is noticeable, areas of peeling, erosion, redness, scratching, and blisters appear on the skin.
The third stage is accompanied by peeling of the epidermis in the form of blisters, which open, the wound surface is constantly wet (wetting), and a secondary infection is typical.
On last stage the inflammatory process gradually subsides, the wounds become covered with crusts, and scars form.

Manifestations of varicose eczema

Manifestations of varicose dermatitis depend on the stage of the disease, but in many patients it is possible to detect both initial signs, and foci characteristic of more late dates diseases, including scars. The lesion is located on the legs, that is, where varicose veins appear - legs, feet, area ankle joints. It is possible to damage one limb or both at once.

The main sign of venous eczema is skin symptoms:

Hyperemia (redness) inflammatory in nature, skin is hot to the touch;
Itching, burning, feeling of heat in the affected area;
Swelling of soft tissues;
Vesicles, including those that have opened.

manifestations of varicose eczema

At the first stage, the patient experiences itching, which occurs periodically, in the late afternoon and at night, and is not too intense. The skin becomes red and shiny. Over time, blisters filled with serous contents appear. Soft tissue swelling gradually increases, and pain is possible.

As trophic changes progress, the itching becomes constant and quite painful, scratching appears, and the number of newly formed vesicles increases, which are emptied, giving the skin surface a moist appearance. Such erosions provide a good breeding ground for the proliferation of microorganisms, so secondary infection is a constant component of varicose eczema.

The alternation of periods of exacerbations and temporary improvements leads to further changes in the skin. It becomes dense, acquires a brown or bluish tint, peels off, and areas of scarring alternate with fresh blisters.

trophic ulcer

The final stage of dermatitis against the background of varicose veins can be not only sclerosis with thickening and thinning of the skin, but also the formation of varicose veins that penetrate deep into the dermis. An infection inevitably develops, which is also facilitated by scratching.

The presence of varicose eczema of the lower extremities changes the gait: the patient begins to limp, trying not to put weight on the affected leg. Dermatitis also affects the general condition of the patient. Considering the chronic inflammatory process, symptoms such as weakness, fever, constant itching disrupt sleep, and the patient becomes restless and irritable are quite likely. Cosmetic defects caused by pathology are also of no small importance, which is why women who are forced to give up skirts and high-heeled shoes are especially worried.

Varicose ulcers characterize an advanced process when inflammation spreads deep into the underlying tissues, the skin in the ulcer area is necrotic, the wound surface is moist, covered with brown, gray-yellow crusts, soft fabrics edematous. At this stage, patients complain of intense itching and pain in the affected limb.

Complications of varicose dermatitis include purulent processes due to the addition of secondary bacterial flora. This the phenomenon is very dangerous due to generalization and, especially in persons with metabolic disorders, diabetes, severe venous insufficiency.

Treatment of varicose eczema/dermatitis

Varicose eczema requires an integrated approach to treatment - drug therapy, both local and in the form of drugs taken orally, work and rest schedule, balanced diet. In some cases, the question is raised about the need to remove varicose veins surgically. All patients without exception are recommended to wear compression stockings.

Local impact

Local treatment includes various creams, ointments, lotions and baths. It is especially effective in the initial stages of dermatitis. Task local therapy– moisturize, soften and disinfect the skin. For this purpose, experts advise regularly lubricating the skin of the legs and feet with moisturizers. cosmetics, special oils. It is good if the patient gives up regular soap in favor of dermatological gels that more gently cleanse the surface of the skin without drying it out.

Hygiene procedures in conditions of insufficient trophism are very important, so they should not be neglected. You need to cleanse the affected areas of the skin every day, preferably with neutral soap. Wet surfaces are dried using sterile wipes or cotton wool, and the surrounding skin is treated with antiseptic solutions.

If bubbles and moist, eroded areas appear, it is possible to use drying ointments and mash, prepared in a pharmacy according to a dermatologist's prescription. Ointments and creams based on zinc, naphthalan, silver nitrate You can buy them ready-made; the mash will be prepared individually.

Resorcinol, rivanol, silver nitrate solution used in the form of lotions and are effective due to their antimicrobial, drying and astringent action. Hormone-based drugs (Lorinden, Sinalar, Advantan) have anti-inflammatory properties and help reduce itching.

In most cases, at stages 1-2 of dermatitis, symptoms decrease under the influence of local treatment. To improve trophism and accelerate the healing of erosions and ulcers, drugs that enhance skin regeneration are indicated - solcoseryl, methyluracil.

Drug and surgical treatment

In addition to local therapy, in some cases there is a need for additional treatment with drugs taken orally:

Antihistamines;
Antibiotics;
Sedatives;

So, if eczema occurs with a microbial infection, you cannot do without antibiotics. At fungal infection Antibiotics are not prescribed; antimycotic agents are used instead. Antihistamines are used to relieve itching - pipolfen, fenkarol, loratadine. Many patients with severe varicose dermatitis need sedatives - valerian, motherwort, tranquilizers.

Considering that the direct cause of skin lesions is varicose veins and vein pathology, it is advisable to administer venotniks and vascular agents internally ( actovegin, pentoxifylline, detralex).

Surgical treatment is indicated for severe forms dermatitis that does not respond to conservative therapy. In this case, either or minimally invasive and non-surgical techniques are performed. It is very popular.

General tips for treating varicose dermatitis include changing your routine and diet. Patients should avoid standing on their feet for long periods of time, walking long distances (and at the same time physical inactivity); wearing tight shoes and synthetic clothing should be avoided.

To normalize blood flow through the veins, knee socks, stockings, and tights are used, which are selected strictly individually, taking into account the stage of the disease and the parameters of the patient’s legs.

The diet for venous eczema should include foods high in vitamins, especially group B, microelements, and protein. You should limit the consumption of irritating, spicy, spicy foods, alcohol, which provoke an increase in local allergic reaction.

Traditional and alternative therapy also offer a lot of recipes for varicose dermatitis. Among the most popular are baths, lotions with solutions of medicinal plants, and hirudotherapy with leeches.

The use of leeches is due to their ability to thin the blood, thereby improving blood flow in the veins and microcirculation in small skin vessels. The procedure is unique and not acceptable to every patient, but it is better to carry it out by a specialist with a medical education in a medical institution.

ethnoscience

Folk remedies for varicose eczema are used quite actively, because herbs are available to everyone and can be used at home and independently. Typically, patients prepare decoctions from medicinal plants. Chestnut extract, grape leaves, chamomile flowers and calendula may be effective. Oak bark, having antiseptic, wound healing and anti-inflammatory properties.

Healing is helped by the use of various oils - almond, coconut, wheat germ. It is recommended to treat affected areas of the skin with oils after thorough hygiene procedures.

Adherents of traditional medicine can prepare more complex compositions at home based on medicinal herbs. For example, an ointment prepared at home from plants can reduce itching and soften the skin. To obtain it, take a tablespoon of burdock herb, fireweed and chamomile, mix with a spoon of butter and heat in a water bath until a thick substrate is obtained. After the composition has cooled, it is mixed with glycerin and treated the affected skin.

It is easier to treat varicose eczema the sooner you start this process, but the prevention of this unpleasant and dangerous complication vein pathologies. It is important to pay due attention physical activity– walking, running, swimming, etc. in order to increase the tone of the muscles and veins of the legs. Massage is useful, cold and hot shower, dousing with cool water.

When eczema begins, you should not give up movement; on the contrary, it increases microcirculation and accelerates wound healing. It is better to avoid long-term static loads altogether, and if work activity does not allow this, then you should try to minimize the time spent on your feet.

Wearing comfortable shoes, correctly selected in size, and clothing made of natural fabric is a necessity for patients with eczema that has already begun. If with varicose veins ladies are advised to limit wearing high heels, then with dermatitis it is better to completely forget about them, as well as about wardrobe items made of synthetic fabrics.

Varicose dermatitis occurs chronically, for years, leading to irreversible changes in the skin of the legs, therefore, in order not to start the disease and in time to carry out the most effective treatment, you should always consult a specialist. Patients with varicose veins should visit a phlebologist or surgeon at least once a year to monitor the course of the pathology.

The appearance of venous eczema indicates a serious disruption of blood flow in the veins, and the prognosis is not always favorable, after all, ulcers can form in a matter of months. This form skin manifestations Varicose veins are the most difficult to treat, but success depends on how quickly the patient gets to the doctor and how carefully he follows his recommendations. Given the effectiveness of some folk recipes, Alternative medicine is not able to cure the disease, and self-medication should be completely excluded.

Video: eczema, dermatitis - about the general principles of treatment

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Eczema is a common dermatological disease of an allergic nature. The disease can be chronic and affect various parts of the body. This pathology can be observed especially often in the area of the lower extremities.

The top layer of the epidermis is affected by eczema. Initially, peeling and cracks appear, and later a weeping crust appears. Very often, the problem of varicose eczema occurs due to malfunctions vascular system body. It is because of this that the course of such a disease should be under the supervision of doctors after a thorough diagnosis.

What is varicose eczema?

Only complex therapy can guarantee a positive result in the treatment of such a dermatological disorder as varicose eczema.

Skin care

For any problems foot skin needs hydration. This is what prevents the appearance of cracks and subsequent infection in the area of microtrauma. It is advisable to choose a remedy that will be combined with hormonal medications.

How and with what to treat varicose eczema?

Treatment of varicose eczema depends on:

Stages of the disease.
Forms of the disease.
Damage zones.

Usually a whole range of medications are prescribed. Hormonal ointments can also be used in treatment.

Sometimes additional physiotherapeutic procedures may be needed:

ozone therapy;
laser treatment;
Magnetotherapy.

During periods of exacerbation, damaged areas:

limit contact with water or cosmetics;
the patient should wear clothes made from natural fabrics;
moisturize the skin.

For the entire duration of treatment, patients must adhere to restrictions on alcohol and cigarettes. Follow an anti-allergy diet. If the need arises, it may be necessary to change the climate zone of residence.

Ointments

Varicose eczema can occur in both chronic and acute forms. Having established the root causes of its occurrence, we begin to carry out complex therapy. And very often, ointments are prescribed for dermatological problems.

Earlier on the site we discussed chronic skin disease.

Drugs of this type must have a certain range of effects on the affected areas:

Eliminate itching.
Prevent the entry of concomitant infectious agents.
Promote hydration skin.
The components should not provide negative impact on the patient's body.

It should be noted that to combat different eczemas, ointments of different composition are needed. But all of them must have a whole range of effects on the affected areas.

The use of ointments gives good results:

Prednisolone.
Hydrocortisone ointment.
Soderm.
Dermasan.
Skin cap.

Folk remedies

If available only initial stage Varicose eczema can be cured using traditional methods:

Grind raw potatoes. Stir half a glass of the resulting mixture with a spoon of honey. Make compresses with the solution for 2 hours under a bandage.
Chop about 3 heads of garlic and mix with 50 grams of honey. Rub into affected areas daily.
Combine a fly in the ointment and mix with 3 spoons fish oil. Add a spoonful of vinegar. Use the resulting mixture every day against the symptomatic manifestations of varicose eczema.
Grate the carrots on a fine grater and place on the skin of your feet.
Beat off the cabbage leaves and make compresses with this mixture once a day.
Grind 30 grams of calendula flowers and add fresh horseradish juice about a spoon. Then add the same amount apple cider vinegar, and make lotions.

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Prevention

To eliminate the recurrence of varicose eczema, it is necessary to adhere to preventive measures:

Limit consumption of salty, spicy and fried foods.
Avoid allergenic foods.
Wear natural quality underwear.
Monitor the hygienic condition of the skin.
Treatment of the full range of concomitant diseases.
Antiseptic treatment of affected areas and microtraumas.

Conclusion

Diseases of a dermatological nature require the development of healthy life skills. Without such habits, varicose eczema can develop into chronic form, which will only complicate her further treatment. The patient needs to monitor his diet, psychological state and skin care. These are the factors that influence possible relapses varicose eczema.

Varicose eczema occurs in the lower leg area when blood flow deteriorates and there is insufficient oxygen saturation of the tissues of the lower extremities. The process is accompanied by swelling, itching, thickening of the skin, and hyperpigmentation.

In the later stages, inflammatory foci, blistering rashes form, scars and ulcers form.

Treatment of eczema involves restoring blood circulation, strengthening veins, relieving swelling and itching, and preventing the development of infection.

Drug treatment

Therapy for eczema against the background of varicose veins is complex and lengthy; drugs from different groups are used to eliminate provoking factors and relieve symptoms.

Phlebotonics and angioprotectors

Varicose eczema forms on the legs, so treatment begins with the use of drugs to improve venous tone.

Venotonic agents in the form of tablets increase the elasticity of blood vessels, stimulate venous blood flow in the extremities, improve microcirculation and lymphatic drainage. Medicines reduce the release of plasma into surrounding tissues and reduce congestion.

TO the best drugs groups include: , Detralex, Aescusan.

Venotonic ointments and gels reduce swelling, strengthen vascular walls, relieve inflammation. Among venotonics local action the most popular are: Venozol, Venitan, Troxevasin, Zdorov Cream-Wax.

Angioprotectors normalize tissue metabolism, microcirculation, and blood clotting. Pentoxifyline and Vazonit improve blood circulation in small vessels.

Regenerating agents

Varicose eczema of the lower extremities at a late stage is accompanied by difficult-to-heal wounds, the treatment of which requires improvement of metabolic processes in tissue cells.

In conditions of impaired blood supply, Actovegin and Solcoseryl ointments improve trophism and activate metabolism. By increasing the supply of oxygen and glucose, rapid tissue renewal and restoration occurs.

Antihistamines

Eczema against the background of varicose veins occurs with the formation of itchy and flaky areas on the legs. To eliminate itching, you can use Suprastin, Fenkarol, Zodak.

Fenistil gel has an antipruritic effect. Psilo-balm suppresses itching, gives a slight anesthetic and cooling effect.

Diphenhydramine ointment eliminates irritation and peeling. The product is prepared in a pharmacy and may contain antibiotics. Gistan cream based on dexpanthenol and herbal components relieves unpleasant symptoms, helps restore the epidermis, disinfects, and reduces the intensity of itching.

Antibiotics and antiseptics

Used when eczema gets worse bacterial infection. Purulent crusts and inflamed areas appear, healthy cells destroyed by pathogenic microorganisms.

For disinfection use Fukortsin, hydrogen peroxide, boric acid, green diamond solution.

At purulent complications Effective agents for local therapy are Neomycin, Tetracycline, Fucidin. Ointments are applied three times a day to eczematous lesions in a thin layer. With pronounced development purulent infection broad-spectrum antibiotics are prescribed: Ampicillin, Oxacillin, Ciprofloxacin, Erythromycin, Clarithromycin.

Medicines inhibit pathogenic microflora and quickly eliminate the inflammatory process.

Anti-inflammatory drugs

NSAIDs local application relieve inflammation on the surface of the skin of the legs, reduce painful sensations, act effectively at different stages of the disease.

When applying ointments, you need to avoid open wounds, they cannot be applied under bandages. You can buy Voltaren, Diclofenac, Indomethacin ointment without a prescription.

Preparations based on naphthalan

Naftalan ointment reduces Clinical signs eczema, activates metabolic processes, dilates blood vessels, relieves pain and inflammation, has an antibacterial effect.

The drug is suitable for home treatment, effective for severe varicose eczema and difficult-to-heal wounds.

Ointment for varicose eczema on the legs based on naphthalan oil:

Dries out the skin.
Improves microcirculation.
Has an exfoliating effect.
Quickly reduces the size of affected areas.
Warm ointment is applied to the affected areas and left for 20 minutes. A course of 15-20 days is recommended.

Hormonal external preparations

Varicose eczema of the lower extremities is treated with strong and moderate glucocorticoids. This group includes: Methylprednisolone, Betamethasone, Hydrocortisone, Dermovate, Fluorocort, Elokom, Advantan. The drugs stop the inflammatory process, reduce itching, swelling, and pain.

Additional antibacterial and antifungal components are contained in Triderm cream and ointment. Medicines can be used for infectious lesions.

Varicose eczema in pregnant women requires urgent treatment, but ointments must be selected carefully. Experts allow the use of Afloderm during pregnancy.

Long-term use of steroid ointments can cause skin atrophy, dilation of small blood vessels, and skin depigmentation, especially in older people. To avoid the development of adverse effects, the course of treatment indicated in the instructions should not be exceeded.

Products for moisturizing and softening the skin

Moisturizing creams based on almond oil and glycerin prevent the formation of cracks in eczema, relieve discomfort, retain moisture.

Regular Vaseline can be used as an inexpensive emollient.

Skin-Cap cream prevents the growth of bacteria, moisturizes, reduces inflammation, and Losterin will restore skin nutrition.

Drying agents

When fluid comes out of the blisters, it is necessary to dry the skin with a solution of silver nitrate, ichthyol or zinc-naphthalan ointment.

Desitin ointment based on zinc oxide has a drying and anti-inflammatory effect. A protective layer is formed on the skin, irritation is eliminated, and small wounds heal. It is recommended to treat wet areas with salicylic-zinc paste to speed up regeneration, destroy bacteria, and dry out.

Compression jersey

Special knitwear improves blood circulation. , stockings, used throughout the day. For severe vein diseases, compression class 2 and 3 underwear is recommended. It optimally distributes pressure on the leg, prevents venous stagnation, and normalizes blood circulation.

Traditional medicine recipes

Varicose eczema in initial period responds well to treatment with folk remedies. External herbal remedies soften and nourish the skin, relieve itching, and promote tissue restoration.

Recipe No. 1

To prepare the remedy you need to take two tablespoons: bay leaf, string, eucalyptus, thyme.

The crushed raw materials are poured into 400 ml olive oil. After ten days of infusion, add 20 ml of glycerin. The ointment is used 2-3 times a day.

Recipe No. 2

A tablespoon of ground chamomile, fireweed, and burdock rhizomes is combined with a spoonful of good butter. The mass is heated in a water bath, after cooling, mixed with a spoonful of glycerin.

Recipe No. 3

Burdock is a valuable raw material for the treatment of varicose veins and skin defects. Ointment will help cure eczema homemade. The burdock roots are thoroughly ground, filled with water, it should completely cover the crushed mass.

The pulp is evaporated for three hours in a water bath. 100 grams of butter are added to the remaining mass. The product is used three times a day for twenty days.

Recipe No. 4

Birch tar relieves inflammation and itching, disinfects, destroys bacteria, improves blood circulation, accelerates regeneration of the epidermis, and dries. Based on it, an ointment is prepared for occlusive dressings, which is effective in the treatment of weeping eczema.

You will need: 100 grams of tar, a fresh egg, a tablespoon of heavy cream. The components are mixed until homogeneous. The mass is applied to the affected skin, a bandage is applied for five to seven hours.

Recipe No. 5

Red hot pepper reduces cholesterol levels and stimulates blood circulation. The cut pods are infused in alcohol for three weeks. The infusion is taken three times a day before meals, 30 drops per glass of water. Chili pepper can simply be used to season food.

Conclusion

It is advisable to use homemade medicinal products in combination with pharmaceutical drugs. Varicose eczema can be cured only with complex therapy. With constant medical supervision, an active lifestyle, moderate weight, and the exclusion of prolonged static loads.

Varicose eczema, the treatment of which is delayed, leads to the formation of trophic ulcers. In such cases, the cause of the disease is eliminated surgically.

Eczema – common chronic illness skin. It has a relapsing course. Exacerbations are accompanied by pronounced external manifestations of an inflammatory nature. Eczema accounts for up to 40% of all dermatological pathology. The disease is based on an allergic reaction, that is, the body’s hypersensitivity to certain substances.

Causes and mechanisms of development

Eczema occurs under the influence of a complex of factors. People with this disease are characterized by metabolic disorders, excess weight, vascular disorders, and a hereditary predisposition.

Microbial infection is recognized as one of the triggering factors of eczema. She supports chronic inflammation, causing a change in sensitivity (sensitization) of the body. Microbial eczema observed in approximately one fifth of patients with this disease. Varicose eczema is one of the forms of microbial. On the other hand, it is part of the varicose syndrome, being one of the complications of damage to the venous vessels.

Chronic venous insufficiency (CVI) with varicose veins occurs in large number patients. Many cases of CVI are complicated by the development of trophic ulcers. Pathogenic microorganisms (streptococci, staphylococci, Pseudomonas aeruginosa and others) can multiply on the surface of ulcers. Their particles (antigens), foreign to the body, become a source of constant sensitization. The body, trying to get rid of substances foreign to it, ultimately responds with a perverted reaction with the formation of microbial or varicose eczema.

Separately, it is worth noting that most patients with varicose eczema have sensitization not only to bacteria, but also to fungi.

Manifestations of varicose eczema

Skin lesions are located on the lower extremities, primarily the legs. Varicose veins and accompanying skin disorders are also located there: thinning, dryness, cracks, microtraumas, trophic ulcers. These changes are caused by impaired nutrition of the skin as a result of chronic venous insufficiency. Usually the disease is accompanied by swelling of the lower extremities, induration (thickening, hardening) of the skin, and a bluish color of the skin.

Factors that provoke the appearance of eczema with varicose veins:

skin and vascular injuries;
increased sensitivity to components of drugs for the treatment of trophic ulcers, including traditional medicines;
Maceration (softening due to excessive moisture) of the skin when using impermeable dressings.

Characteristic external manifestations diseases:

false polymorphism of elements: they can be observed simultaneously different stages varicose eczema - redness of the skin, rash, small blisters, which then open and become covered with yellow-green crusts, under which there may be purulent contents;
a clear boundary of the lesion, the presence of a scalloped edge formed by the exfoliated stratum corneum of the epidermis;
moderate itching;
location around a trophic ulcer or wound;
asymmetry of the lesion;
there is no tendency to peripheral growth and the appearance of “dropouts”.

When removing the crusts, a common sign for all eczemas is determined - “serous wells”. These are areas of weeping that extend into the middle and lower layers of the skin.

The process can involve not only the upper and middle skin layers (epidermis and dermis), but also the hypodermis. In this case, the patient is worried about elevated body temperature. The skin temperature of the affected leg also increases. Inflamed lymphatic vessels, regional lymph nodes, especially the inguinal ones, enlarge and become painful.

The acute stage of varicose eczema is characterized by gradually appearing rashes against the background of reddened skin, turning into small blisters. After the opening of the bubbles and the formation of crusts, the process gradually subsides, moving into the subacute stage. The skin of the legs remains red, severe dryness, cracks, and scales appear. Due to itching, scratches may occur.

The chronic stage is manifested by increased pigmentation (darkening) of the affected area, thickening of the skin on it, and persistence of moderate itching. Varicose nodes and tortuous veins are often visible under the skin.

Diagnostics

Recognizing varicose eczema is usually not difficult, since the disease is associated with impaired venous outflow due to varicose veins. General and biochemical tests blood, urine test. The patient is consulted by a phlebologist or vascular surgeon. A study is being carried out regarding varicose veins: Doppler ultrasound of the veins of the extremities. These data will help you navigate the tactics of further treatment.

Treatment

Treatment of varicose eczema includes the following areas:

diet;
hyposensitizing agents;
vitamins;
locally - ointments with analgesic, anti-inflammatory, antibacterial effects;
drugs that improve microcirculation;
according to indications - antimycotic drugs;
elevated position of the limb.

Nutritional therapy involves limiting fluids, refined carbohydrates (sugars) and table salt. The diet should be dominated by fermented milk and herbal products. Improving intestinal function and restoring normal microflora will help the body cope with microbial sensitization. It is advisable to eliminate food allergens from the menu: eggs, chocolate, citrus fruits, poultry, whole milk, mushrooms, spices, mayonnaise, seafood, tomatoes, red wine, legumes.

To reduce the severity of an allergic reaction, you can use, for example, sodium thiosulfate. Must be appointed antihistamines 1st generation: Clemastine, Hifenadine and others. After acute inflammation subsides, antihistamines of the latest generations are prescribed: loratadine, fexofenadine.

Vitamins A, E, C, nicotinic acid are shown.

If the patient has a trophic ulcer, fever, increased inguinal lymph nodes, he is prescribed antibiotics: Amoxicillin in combination with clavulanic acid, Doxycycline, fluoroquinolones of the latest generations, cephalosporins.

Chlorhexidine or 3% hydrogen peroxide is suitable as a disinfectant for treating trophic ulcers. Eczema lesions can be treated with brilliant green, methylene blue, alcohol solution Fukortsina.

Levosin and Celestoderm ointments can be applied to areas of ulcers and eczema. For symptoms of infection, antibiotic ointments are used: Gentamicin, Neomycin and others. In the absence of infection, it is possible to use local glucocorticosteroids, including in combination with antibiotics.

If sensitization to fungal allergens, which is often found in varicose eczema, is detected, systemic antifungal agents, such as Diflucan, are prescribed.

To improve blood supply to tissues, drugs such as Pentoxifylline and Aescusan are prescribed.

Physiotherapy is also indicated: ultraviolet irradiation, laser therapy.

An elevated position of the limb during rest is useful: you should try to place the sore leg on at least a low stool, or even better, raise it above the level of the groin to improve outflow venous blood and reducing swelling.

With proper therapy, acute effects subside after a week, and complete healing occurs after 3 weeks. After this, you can solve the issue of eliminating varicose vessels of the extremities using surgical interventions. Eliminating the main factor that provokes varicose eczema will prevent its relapse.

Therapy with folk remedies

Additionally, after consultation with a doctor, you can treat varicose eczema with folk remedies. So, compresses with raw potato juice and burdock root decoction help reduce itching and speed up healing. You can apply fresh cabbage leaves from which the veins have been cut off to the sore shin. In case of fungal sensitization, washing the affected surface with laundry soap will help eliminate the disease. There is no need to soap your feet too much, just rinse them with soapy water so as not to cause dryness and irritation of the skin.

Help improve microcirculation foot baths with sea salt. This solution can be prepared at home by diluting it in 5 liters. warm water half a tablespoon of table salt and adding a few drops of iodine tincture. Such baths should be taken daily for 15 minutes.

Note that laundry soap and salt baths are best taken when the symptoms of an exacerbation subside, when there are no bursting blisters or purulent crusts.

During exacerbations of the disease, in addition to compresses and other external remedies, herbal decoctions taken orally will help. For their preparation, plantain, sage, nettle, wormwood, yarrow, and St. John's wort are used. These plants reduce the severity of the body's allergic reaction, improve immunity, normalize blood circulation and improve nutrition of the tissues of the lower extremities, including the skin.

Varicose eczema has diagnostic and treatment features that distinguish it from other forms of eczema (for example, microbial) and other dermatoses (in particular, neurodermatitis). Therefore, you should never try to recognize and cure this disease on your own. If rashes, itching, or swelling appear on the legs, you should urgently consult a dermatologist and phlebologist. Only the joint help of these specialists can permanently solve the problem of varicose eczema.

Varicose eczema occurs as a complication of the underlying disease - enlarged veins in the legs. Elderly and middle-aged people suffer from stasis dermatitis. He has chronic course and may temporarily not manifest itself, but when provoking factors appear, it may manifest itself in the form of another exacerbation.

Why does varicose veins cause eczema?

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

The following factors can trigger the onset of eczema:

excess body weight, creating additional load on the lower extremities and promoting stagnation of blood in them;
superficial and deep injuries to the legs, leading to damage to the skin or muscles and blood vessels;
deep vein thrombosis, in which venous outflow is further reduced;
heart failure, which contributes to stagnation of blood in the vessels;
skin diseases (dermatitis and dermatoses), secondary infection of skin lesions, etc.;
wearing uncomfortable shoes that disrupt natural blood flow;
allergic reactions and poor nutrition.

Due to a violation of the trophism of the skin, i.e. supplying it nutrients and oxygen in the organ, dystrophic changes begin: the skin becomes thinner and loses its ability to recover. Outwardly, it looks like the appearance of small cracks, wounds, and inflamed areas. If the disease develops uncontrolled, 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 a specialist.

How to determine the development of eczema with varicose veins

The first sign that should alert a person with varicose veins veins in the legs - itching of the skin in the area of the venous nodes. Irritation appears in the evening, intensifying towards night. Sometimes legs affected by varicose veins itch at night, making it difficult to rest. At this time, there is no visible damage on the surface of the skin, but when scratched, the skin peels off, forming many small dry scales.

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

redness and inflamed appearance of the skin over varicose veins, subsequently the shade of the affected area becomes purple or purple;
small bubbles with transparent contents (vesicles) appear, which open on their own;
the 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 in nature;
the skin in the damaged area becomes thickened and covered with brownish or brown spots.

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

Treatment of varicose eczema

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

Symptomatic drugs

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

With eczema in the acute stage, it also suffers nervous system person. The doctor may recommend an appointment sedatives: pharmaceutical tinctures of valerian, hawthorn, tablets with valerian extract, etc. Sometimes tranquilizing drugs are also prescribed.

The addition 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 (infection penetrates wounds on the legs very easily), the doctor may recommend taking antibiotics. Only a specialist selects a treatment regimen.

You should not take the medicine yourself or stop taking the medicine prescribed by your doctor ahead of time.

If a person has venous eczema, infected wounds are treated with local antiseptics. Doctors recommend benzoyl peroxide, Naftalan, Ichthyol, Clotrimazole or Silver Nitrate, as well as preparations with their components (Ichthyol, Hydrocortisone ointment, Triderm, Skin-Cap, etc.) for treatment. These medications have an antiseptic effect and at the same time dry out wet areas and burst blisters.

Other drugs may be prescribed to treat skin inflammation:

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

After acute inflammation removed, and 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 these 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 underlying disease is also treated.

Remedies for varicose veins with stagnant dermatitis

To normalize blood flow, ensure the drainage of lymph from tissues, relieve swelling and provide normal nutrition to healing skin, doctors also treat varicose veins. For this purpose they use wide range modern phlebotonics and phleboprotectors. The drugs act 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 may prescribe exercise therapy classes, recommend visiting the pool, walking. These measures are aimed at eliminating congestion - the main reason why varicose eczema occurs on the legs.

Do not neglect the doctor's advice and wear compression underwear. Elastic stockings and bandages are used to increase blood flow and normalize microcirculation of fluids in tissues, ensure effective lymph drainage and relieve swelling. For simultaneous skin care for eczema in subacute and chronic stages(in the absence of wet areas), special knitwear is prescribed (for example, “Unna” bandages). The material of the product is impregnated with zinc gelatin or Burov's liquid. Thanks to this, the bandage not only has 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 medications. Only by correctly combining both methods and supporting external symptomatic treatment of varicose veins can a good result be achieved.

When varicose eczema of the lower extremities becomes subacute, you can care for the skin using an ointment made from herbal extracts with anti-inflammatory and healing effects. The following ingredients will be required:

20 g (2 tbsp) dry burdock root;
20 g chamomile;
20 g of fireweed herb;
20 g of coffin root;
1 tbsp. l. butter;
4 glasses of water;
glycerol.

Chop the plant material, add water and bring to a boil. Add butter. Prepare a water bath, place a pan with a decoction of herbs there and continue heating the mixture until a thick mass is obtained (this will take several hours). Strain the extract and squeeze out the plant residues. Cool the resulting liquid and mix with an equal volume of glycerin.

The ointment can be used immediately after preparation; it should be stored in a covered container in the refrigerator.

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

There are other remedies to cure eczema:

Natural village milk should be left in the jar for 5-6 hours (in the refrigerator). After this, sieves will collect on top, which need to be removed and used to make ointment. To 1 tbsp. l. cream, add 1 fresh chicken yolk and 100 g of birch tar (can be bought at the pharmacy). The ointment is applied to a clean cloth and applied to the area affected by eczema. It needs to be fixed with a bandage and changed 1-2 times a day.
For the treatment of skin with sclerotic changes, softening of keratinized areas in the healing phase of ulcers. cabbage leaves. They need to be doused with boiling water to impart plasticity and destroy microbes, and the hard vein should be cut off. Wrap the prepared leaf around the sore leg, secure it with a bandage and change it as the cabbage dries (once every 1-2 days). Repeat the procedure until the skin condition improves.
To relieve itching, make compresses from raw potatoes. The pulp of the vegetable pulp should be applied to the sore spots and covered with a cloth. Keep the compress for 30 minutes and apply as needed.

Before use folk remedies It is worth consulting with your attending phlebologist, as there are effective medications with a similar effect.

How to prevent the development of eczema

So that you don't have to treat this unpleasant disease, eczema with varicose veins should be prevented. Prevention of the disease is simple:

To improve blood circulation and nourish the skin on your legs, you need to try to move more: walk, ride a bike. When working sedentarily, you need to warm up every 1-2 hours: bend and straighten your legs, raise them parallel to the floor, etc.
If swelling appears at the end of the day, you can lie down for 10-15 minutes with your legs elevated.
You should not wear shoes all the time high heels. The ideal option is a heel of 4-5 cm.
You can prevent dry skin on your legs by using special alkali-free soap when washing your feet and taking a shower.

Excellent preventative measure- this is leading an active lifestyle, taking vitamin preparations and good nutrition.

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