References

British Association of Dermatologists. Venous eczema. 2016. https//www.bad.org.uk/pils/venous-eczema/

Clinical Knowledge Summaries. Venous eczema and lipodermatosclerosis – Management. 2022. http//cks.nice.org.uk/venous-eczema-and-lipodermatosclerosis#!topicsummary

Clinical Knowledge Summaries. Dermatitis–contact. 2024. http//cks.nice.org.uk/dermatitis-contact#!prescribinginfosub3

Clinical Knowledge Summaries. Eczema - atopic – Management Goals and outcome measures. 2023. http//cks.nice.org.uk/eczema-atopic#!prescribinginfosub1

Finlay AY ‘Fingertip unit’ in dermatology. Lancet. 1989; 2:8655

Prevalence of lower-limb ulceration: a systematic reviewof prevalence studies. 2003. http//woundcareadvisor.com/whats-causing-your-patients-lower-extremity-redness_vol2-no4/

Burden of wounds to the NHS: what has changed since 2012/13?. 2021. https//wounds-uk.com/wp-content/uploads/sites/2/2023/02/68803cd147c4d81a02b9cc56823f19a1.pdf

Guest JF, Fuller GW, Vowden P Cohort study evaluating the burden of wounds to the UK's National Health Service in 2017/2018: update from 2012/2013. Table one. BMJ Open. 2020; 10 https://doi.org/10.1136/bmjopen-2020-045253

Health economic burden that wounds impose on the National Health Service in the UK. 2015. http//www.ncbi.nlm.nih.gov/pmc/articles/PMC4679939/

Guthold R, Stevens GA, Riley LM, Bull FC Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Glob Health. 2018; 6:e1077-86 https://doi.org/10.1016/S2214-109X(18)30357-7

Hotoleanu C Association between obesity and venous thromboembolism. Medicine and pharmacy reports. 2020; 93:(2)162-168 https://doi.org/10.15386/mpr-1372

Severe Lower Limb Cellulitis is Best Diagnosed by Dermatologists and Managed with Shared Care between Primary and Secondary Care. 2011. http//www.medscape.com/viewarticle/743950_3

Ligi D, Croce L, Mannello F Chronic venous disorders: The dangerous the good and the diverse. Int. J. Mol. Sci. 2018; 19 https://doi.org/10.3390/ijms19092544

Lurie F, Passman M, Meisner M, Dalsing M, Masuda E, Welch H, Bush R. L, Blebea J, Carpentier P. H, De Maeseneer M, Gasparis A, Labropoulos N, Marston W. A, Rafetto J, Santiago F, Shortell C, Uhl J. F, Urbanek T, van Rij A, Eklof B, Wakefield T The 2020 update of the CEAP classification system and reporting standards. Journal of vascular surgery. Venous and lymphatic disorders. 2020; 8:(3)342-352 https://doi.org/10.1016/j.jvsv.2019.12.075

Medicines & Healthcare products Regulatory Agency. Emollients: new information about risk of severe and fatal burns with paraffin-containing and paraffin-free emollients. 2020. https//www.gov.uk/drug-safety-update/emollients-new-information-about-risk-of-severe-and-fatal-burns-with-paraffin-containing-and-paraffin-free-emollients

Michaels J. A, Nawaz S, Tong T, Brindley P, Walters S. J, Maheswaran R Varicose veins treatment in England: population-based study of time trends and disparities related to demographic ethnic socioeconomic and geographical factors. BJS open. 2022; 6:(4) https://doi.org/10.1093/bjsopen/zrac077

Molnár A. Á, Nádasy G. L, Dörnyei G, Patai B. B, Delfavero J, Fülöp G. Á, Kirkpatrick A. C, Ungvári Z, Merkely B The aging venous system: from varicosities to vascular cognitive impairment. GeroScience. 2021; 43:(6)2761-2784 https://doi.org/10.1007/s11357-021-00475-2

NHS Choices. Eczema varicose. 2023. https//www.nhs.uk/conditions/varicose-eczema/

NHS Digital. Health Survey for England 2021: Data tables. Data set Part of Health Survey for England 2021 part 1. 2022. https//digital.nhs.uk/data-and-information/publications/statistical/health-survey-for-england/2021/health-survey-for-england-2021-data-tables

Red legs: Cellulitis venous eczema or lipodermatosclerosis how to tell the difference. 2022. https//www.magonlinelibrary.com/doi/full/10.12968/bjcn.2022.27.10.486

O'Brien G, White P The Red Legs RATED tool to improve diagnosis of lower limb cellulitis in the emergency department. Br J Nurs. 2021; 24:30:(12)S22-S29 https://doi.org/10.12968/bjon.2021.30.12.S22

Office for Health Improvement and Disparities. OHID). Guidance: Physical activity: applying All Our Health. 2022. https//www.gov.uk/government/publications/physical-activity-applying-all-our-health/physical-activity-applying-all-our-health

Ortega M. A, Fraile-Martínez O, García-Montero C, Álvarez-Mon M. A, Chaowen C, Ruiz-Grande F, Pekarek L, Monserrat J, Asúnsolo A, García-Honduvilla N, Álvarez-Mon M, Bujan J Understanding Chronic Venous Disease: A Critical Overview of Its Pathophysiology and Medical Management. Journal of clinical medicine. 2021; 10:(15) https://doi.org/10.3390/jcm10153239

Patel GK Gravitational eczema in venous ulcer disease may delay healing. British Journal Dermatology. 2001; 154

Salim S, Onida S, Davies A The Population Burden of Chronic Venous Disease in the United Kingdom. Journal of Vascular Surgery. 2023; 11: 2 https://doi.org/10.1016/j.jvsv.2022.12.058

Salim S, Machin M, Patterson B. O, Onida S, Davies A. H Global Epidemiology of Chronic Venous Disease: A Systematic Review With Pooled Prevalence Analysis. Annals of surgery. 2021; 274:(6)971-976 https://doi.org/10.1097/SLA.0000000000004631

Re: Diagnosis and management of cellulitis. Bilateral cellulitis of the legs: does it exist? BMJ Rapid Response 17 September 2012. 2012. http//www.bmj.com/content/345/bmj.e4955/rapid-responses

Tortora G, Derrickson BH Principles of anatomy and physiology. Chapter 21 The cardiovascular system: Blood vessels and haemodynamics. 2017; 643-644

Uhl J. F, Cornu-Thenard A, Satger B, Carpentier P. H Clinical analysis of the corona phlebectatica. Journal of vascular surgery. 2012; 55:(1)150-153 https://doi.org/10.1016/j.jvs.2011.04.070

Revision of the venous clinical severity score: venous outcomes consensus statement: special communication of the American Venous Forum Ad Hoc Outcomes Working Group. 2010. http//www.sciencedirect.com/science/article/pii/S0741521410016381

Venous eczema: an update for nurses working in primary care

02 April 2024
Volume 35 · Issue 4

Abstract

Venous eczema is one of the more common skin conditions seen by nurses in the UK, with the incidence set to rise as the population ages. Linda Nazarko details the best practice for diagnosis and management in a primary care setting

Around 2 million people in the UK have venous eczema. The number of people with venous eczema is set to rise in line with population ageing, rising levels of obesity and falling levels of activity. Venous eczema is often under-recognised and poorly treated. This article outlines the causes of venous eczema, one of the complications of venous disease and how it can be managed.

Venous disease is a common vascular disorder caused by elevated venous pressure. It is a persistent, progressive, and frequently underestimated condition that can have a huge socioeconomic, physical, and psychological impact on a person (Ortega et. al, 2021). The term venous disease describes a continuum of disorders that range from mild swelling of the legs to severe ulceration of the legs that can have a major impact on a person's quality of life.

Chronic venous disease develops because of an interplay between genetics and environmental factors that increases venous pressure, leading to substantial changes in the whole structure and functioning of the venous system (Ligi et. al, 2018)

Veins are part of the circulatory system. They return de-oxygenated blood to the heart. It is then oxygenated and circulated though the body. Veins contain valves that prevent backflow of blood. (See figure one)

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