Stasis dermatitis is a long-term skin condition linked to poor blood circulation in the legs. it happens when veins struggle to send blood back to the heart, causing pressure, inflammation, and skin damage over time. it is more than a skin issue and reflects an underlying vascular problem.

“Stasis dermatitis is a chronic inflammatory skin condition that develops as a direct consequence of long-standing problems with blood circulation in the lower limbs, most commonly linked to venous insufficiency.”
blood pools in the lower legs, especially around the ankles, leading to swelling and gradual skin changes. risk factors include aging, obesity, immobility, pregnancy history, and past blood clots.

early signs often develop slowly. “One of the earliest visible changes is skin discoloration around the lower legs and ankles, often appearing as a reddish-brown or darkened patch.” itching, dryness, heaviness, and swelling are also common. scratching can worsen irritation and increase infection risk. in advanced cases, open sores and ulcers may form, especially near the ankles.

the condition develops when vein valves weaken. “When the veins in the legs become weakened or damaged, the valves inside them stop functioning properly, allowing blood to pool in the lower extremities instead of circulating upward.” this leads to inflammation, fluid leakage, and tissue damage. over time, skin may harden, thicken, and become more fragile.

diagnosis is usually based on appearance and symptoms, sometimes supported by ultrasound to check blood flow. untreated cases may lead to infections, chronic ulcers, and reduced mobility.

management focuses on improving circulation and protecting the skin. elevating the legs, regular movement, compression stockings, and moisturizing are key steps. in some cases, medical procedures may be needed. “Management of stasis dermatitis focuses on both improving venous circulation and treating the skin inflammation that results from poor blood flow.”