Which of the following treatments would you recommend for this patient ?
Apply hydrogen peroxide
Compression stockings
Oral antibiotics
Topical antibiotic ointment
Note the distended touous vein over the leg with soft tissue edema - varicose viens. Patients with stasis dermatitis and stasis ulceration benefit greatly from leg elevation and the routine use of compression stockings with a gradient of at least 30-40 mmHg. Use of emollients and/or mid-potency topical glucocoicoids and avoidance of irritants are also helpful in treating stasis dermatitis. Diuretics may be required to adequately control chronic edema.
Venous Disorders