Varicose eczema

Also called Venous eczema, Stasis dermatitis, or Gravitational eczema

Varicose eczema is a long-term skin condition that affects the lower legs. It is caused by increased pressure in the leg veins, when the valves inside them do not work well. It is common in people with varicose veins and in older people. Without treatment, the skin can break down into a leg ulcer.

Last updated Nov 9, 2026

What it is

Moisturisers (emollients), steroid creams for flare-ups and compression stockings are the main treatments. Raising your legs and staying active help.

Treating varicose veins can sometimes improve the skin.

Common signs

  • Itchy, red, swollen or dry skin on the lower legs
  • Darker or brownish skin around the ankles
  • Scaly or crusty skin
  • Swollen ankles
  • Hard, tight, discoloured skin in long-standing cases

How it is usually diagnosed

  • Examination of the skin
  • Ankle brachial pressure index (ABPI) test before compression
  • Sometimes a vein scan

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • GP or dermatology notes
  • Vein scan reports
  • ABPI results
  • Prescriptions

Questions to ask your doctor

  • Is compression safe for me?
  • Should my veins be treated?
  • How can I protect my skin from ulcers?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Red, hot, painful and swollen skin with a high temperature: get urgent help the same day
  • Pain, swelling and warmth in one calf: get urgent help the same day

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources