Successful Management of Chronic Stasis Eczema Associated with Chronic Venous Insufficiency Using Individualized Homoeopathic Treatment: A 40-Month Case Report

Abstract

Background

Stasis eczema (venous eczema) is a chronic inflammatory dermatosis associated with chronic venous insufficiency and impaired venous return. It commonly affects elderly individuals and presents with erythema, scaling, pruritus, edema, hyperpigmentation, ulceration, and recurrent secondary infection. Long-standing disease substantially impairs mobility and quality of life. Management usually consists of compression therapy, emollients, topical corticosteroids, infection control, and treatment of underlying venous disease. However, recurrent relapses remain common.

Case Presentation

A 71-year-old retired telephone department officer presented with chronic bilateral stasis eczema associated with chronic venous insufficiency. The patient had initially developed eczema in 1971, which resolved with treatment but recurred in 2012 and persisted for approximately eleven years before seeking homoeopathic treatment. He complained of persistent itching, burning, scaling, hyperpigmentation, edema, recurrent ulceration, secondary infection, and recurrent venous dermatitis predominantly affecting both lower limbs. Associated illnesses included Type 2 Diabetes Mellitus, hypothyroidism, varicose veins, recurrent urinary complaints, and osteoarthritis. Constitutional evaluation demonstrated long-standing unresolved grief, impatience, sedentary lifestyle, chronic disease tendency, and marked burning of lesions. Constitutional management consisted of Nux vomica, followed by anti-miasmatic prescribing with Carcinosinum, Sulphur, Natrum muriaticum, and Psorinum, together with acute remedies according to symptom evolution.

Outcome

During forty months of follow-up, the patient demonstrated gradual reduction in itching, burning, scaling, edema, secondary infection, venous ulcer activity, and skin inflammation. No major progression of eczema occurred, and overall quality of life improved substantially.

Conclusion

This case demonstrates favorable long-term clinical improvement in chronic stasis eczema using individualized homoeopathic treatment integrated with routine management of associated systemic diseases.