Homoeopathic Management of Stasis Dermatitis Associated with Chronic Venous Insufficiency in an Elderly Female: A Case Report at Dr Batra’s

Abstract

Stasis dermatitis is a chronic inflammatory dermatosis resulting from chronic venous insufficiency and is commonly encountered in the elderly population. It is characterized by erythema, edema, scaling, pruritus, oozing, and skin discoloration of the lower extremities. Persistent venous hypertension often results in recurrent inflammation, secondary infection, impaired mobility, and considerable reduction in quality of life. Conventional management consists of compression therapy, topical corticosteroids, emollients, antibiotics, and treatment of the underlying venous disease; however, recurrence remains common.

This case report describes a 77-year-old female with stasis dermatitis involving the right lower limb, presenting with swelling, erythema, scaling, dryness, itching, pain, and intermittent oozing. She had associated chronic venous insufficiency, diabetes mellitus, hypertension, untreated hypothyroidism, and anemia. Constitutional assessment revealed a calm, emotionally sensitive, patient, fastidious, and family-oriented individual with a fear of falling because of advanced age. Repertorial analysis supported Pulsatilla as the constitutional remedy, while acute prescriptions were individualized according to the changing symptom picture.

Following 18 months of individualized homoeopathic treatment, there was complete resolution of edema, erythema, itching, scaling, dryness, and oozing with restoration of normal skin appearance. No recurrence was observed during the subsequent six months of follow-up, and the patient's quality of life improved markedly.