Inside Out Medicine — we treat skin from the inside out Health in Türkiye
Eczema

Stasis Dermatitis

Stasis dermatitis is chronic skin inflammation around the ankle caused by pooled blood from leg vein insufficiency, with swelling, itch, discolouration and, in time, ulcers.

Cortisone-free protocol Same-day callback Consultation in five languages

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Cortisone-free protocol Same-day callback Consultation in five languages Written treatment plan
Signs and symptoms

Do you recognise these signs?

If one or more of these applies to you, we recommend a dermatological assessment.

  • Swelling (oedema), itch and tightness around the ankle and lower calf
  • Brown-red discolouration of the skin that later hardens and thins
  • Dryness, scaling and the growth of weeping, itchy eczema over the area
  • Slow-healing venous ulcers opening near the inner ankle in advanced cases
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Causes and triggers

  • Leg vein insufficiency and faulty valves raising the venous pressure
  • Long periods of standing, immobility and a past deep vein thrombosis
  • Fluid and oedema pooling at the ankle and straining the skin barrier
  • Excess weight, pregnancy and age adding to the vascular load and flares
Cortisone-free protocol

How we treat it

01

Compression therapy and leg elevation to reduce oedema and venous pressure

02

Ceramide barrier repair and intensive moisturising to ease dryness and itch

03

Cortisone-free control: calcineurin inhibitors alongside gentle cleansing care

04

A vascular review of the vein insufficiency and wound care where ulcers exist

The Inside Out Approach

Why Clinovia?

Psoriasis and eczema are not only a surface problem. We assess the skin barrier, inflammation, nutrition and lifestyle, comorbidities and dermatological treatment together. Evidence-based dermatology remains the backbone; nutrition and lifestyle support that plan.

01

The Gut–Skin Relationship

We review digestive symptoms, dietary pattern and food-sensitivity history. The link between gut microbiome and inflammatory skin disease is still being researched, so it is addressed alongside — never instead of — dermatological treatment.

02

Cortisone-Free Protocol

First-line calcineurin and PDE-4 inhibitors, ceramide-based barrier repair and phototherapy instead of steroids; systemic and biologic steps when needed.

03

Systemic Repair

Vitamin D, zinc, omega-3 and iron levels plus thyroid and insulin resistance are screened, and any deficits found are built into the plan.

04

Measurable Follow-up

PASI/EASI and DLQI scores are tracked alongside laboratory values; steps that do not deliver a response are removed from the plan.

Leg veins carry blood upward against gravity; when the valves weaken, blood pools around the ankle and pressure rises. That pressure drives fluid leakage, inflammation and skin damage. This is why stasis dermatitis almost always settles on the ankle and lower calf rather than elsewhere.

Yes. Compression is the single most important step for lowering the venous pressure beneath stasis dermatitis. Creams only calm the surface inflammation, but if the oedema persists the disease returns. Properly fitted stockings or bandages, with leg elevation, ease the itch and cut the risk of venous ulcers.

Yes. For infant eczema and paediatric psoriasis we use age-appropriate topical stepping, a moisturising routine and, when indicated, paediatric phototherapy dosing.

Our standard protocols are cortisone-free. We work with topical calcineurin inhibitors, PDE-4 inhibitors, ceramide-based barrier repair, NB-UVB phototherapy and biologic agents when needed. Cortisone is considered only for very short, unavoidable situations and with the patient's consent.

Appointment

Let's build the right plan for your skin today

Fill in the form and our coordinator will call you the same day to arrange the right doctor and time slot.

  • Same-day callback
  • Consultation in five languages
  • Written treatment plan
  • Defterdar, Fethi Çelebi Cd. No:15, 34050 Eyüpsultan/İstanbul, Türkiye
  • Mon–Sat: 09:00 – 19:00

Request a same-day callback

Leave your details and our coordinator will call you to arrange the right doctor and time.

This form does not replace a medical diagnosis.

Request received. We will call you shortly.
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Cortisone-free protocol Cortisone-free treatment protocolsGut–skin axis approach12 years of psoriasis & eczema expertiseNB-UVB phototherapy unitConsultation in five languagesSame-day appointment callback