The tissue becomes fragile, causing stasis dermatitis. The disorder is common on the ankles because there is less supportive tissue in this area. The skin becomes thin, inflamed, and open ulcers may form and heal slowly. The skin may darken. The skin, initially thin, may later thicken, perhaps because of itching and scratching of the area.
Prevention is the control of underlying causes of peripheral edema .
The diagnosis is primarily based on the appearance of the skin. The underlying condition and edema must be controlled. This may include surgical correction of varicose veins , medications to control heart failure , diuretics to remove excess fluid, and other treatments. Circulation in the area may be improved as edema is reduced. This can be aided by elevation of the legs above the level of the heart until swelling is lessened.