What medications are used in the treatment of stasis dermatitis?

Updated: Mar 27, 2020
  • Author: Scott L Flugman, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

The goals of pharmacotherapy are to reduce morbidity and prevent complications. Midpotency corticosteroids, such as triamcinolone 0.1% ointment, are generally effective in reducing the inflammation and itching of acute flares of stasis dermatitis. [37, 38] However, the clinician should be wary of using high-potency topical corticosteroids in stasis dermatitis; the chronically inflamed skin can increase the risk of systemic absorption and steroid-induced cutaneous atrophy can predispose the patient to ulceration. [39, 40]

Infection is a particular concern in stasis dermatitis, since topical corticosteroids make the patient more susceptible to infection. Open excoriations and erosions should be treated with a topical antibiotic.


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