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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Patch On The Foot Which Is Very Itchy. Applied Many Creams But No Use. What To Do?

I have had a red purple patch on top of my foot with small pimple like spots which are very itchy, they are over a few veins in my foot.
Ihave had the rash for about six months used topical creams, steroid tape, moisturizers, anti fungal cream which made it worse, when i am not stood all day in my job it seems to be a better colour but just wont go away.,
It seems to look worse when i have showered and either soap or warm water go on it.
Thu, 23 May 2013
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Dermatologist 's  Response
Hi
You seem to have developed Venous Eczema over your limb.
Venous stasis dermatitis (or eczema) is an itchy rash occurring on the lower legs. It arises when there is venous disease so it also called ‘gravitational eczema’.
Normally during walking the leg muscles pump blood upwards and valves in the veins prevent pooling. A clot in the deep leg veins (deep venous thrombosis or DVT) or varicose veins may damage the valves. As a result back pressure develops and fluid collects in the tissues.
The affected leg is usually swollen if there is venous stasis, particularly after prolonged standing and during hot weather. Swelling is due to inflammation and lymphoedema. Dermatitis can arise as discrete patches or affect the leg circumferentially. The affected skin is red or hyperpigmented and scaly, and may ooze, crust and crack. It is frequently itchy.

To reduce swelling in the leg:
Don't stand for long periods.
Take regular walks.
Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively.
Elevate the foot of your bed overnight.
Once the dermatitis is under control, wear special graduated compression stockings long term. These can be obtained from a surgical supplies company.

To treat the venous stasis dermatitis:

Dry up oozing patches with Condy's solution (potassium permanganate) or dilute vinegar on gauze as compresses.
Apply a prescribed topical steroid: start with a potent steroid cream applied accurately daily to the patches until they have flattened out. After a few days, change to a milder steroid cream (eg. hydrocortisone) until the itchy patches have resolved (maintenance treatment).
Use a moisturising cream frequently to keep the skin on the legs smooth and soft.
Try not to scratch: it keeps the dermatitis going.
Protect your skin from injury: this can result in infection or ulceration..

Hope it helps
Dr Geetika paul
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Have Patch On The Foot Which Is Very Itchy. Applied Many Creams But No Use. What To Do?

Hi You seem to have developed Venous Eczema over your limb. Venous stasis dermatitis (or eczema) is an itchy rash occurring on the lower legs. It arises when there is venous disease so it also called ‘gravitational eczema’. Normally during walking the leg muscles pump blood upwards and valves in the veins prevent pooling. A clot in the deep leg veins (deep venous thrombosis or DVT) or varicose veins may damage the valves. As a result back pressure develops and fluid collects in the tissues. The affected leg is usually swollen if there is venous stasis, particularly after prolonged standing and during hot weather. Swelling is due to inflammation and lymphoedema. Dermatitis can arise as discrete patches or affect the leg circumferentially. The affected skin is red or hyperpigmented and scaly, and may ooze, crust and crack. It is frequently itchy. To reduce swelling in the leg: Don t stand for long periods. Take regular walks. Elevate your feet when sitting: if your legs are swollen they need to be above your hips to drain effectively. Elevate the foot of your bed overnight. Once the dermatitis is under control, wear special graduated compression stockings long term. These can be obtained from a surgical supplies company. To treat the venous stasis dermatitis: Dry up oozing patches with Condy s solution (potassium permanganate) or dilute vinegar on gauze as compresses. Apply a prescribed topical steroid: start with a potent steroid cream applied accurately daily to the patches until they have flattened out. After a few days, change to a milder steroid cream (eg. hydrocortisone) until the itchy patches have resolved (maintenance treatment). Use a moisturising cream frequently to keep the skin on the legs smooth and soft. Try not to scratch: it keeps the dermatitis going. Protect your skin from injury: this can result in infection or ulceration.. Hope it helps Dr Geetika paul