Hemosiderin staining leg - how can this be treated? (Photo)

Question

I had surgery on my varicose veins a few years ago (evla and foam sclerotherapy) which left me with hemosiderin staining around the ankle. I then went to a skin laser clinic (last one 10 months ago) and had a few attempts to clear the staining and all it's done is made it worse and much bigger, very red and it's spreading. I am not sure if I need to see a vein specialist or a skin specialist. I would love some advise as it’s making me really feel low.

Steven Mehta, MD · Answer

Unfortunately, hemosiderin staining can be a very frustrating result of chronic venous insufficiency. As you may know by now, it results from the deposition of iron from the blood in the interstitium of the skin (between skin cells). While certain lasers may improve hyperpigmentation in some circumstances, yours may be a condition where the light stimulation actually increases the hyperpigmentation and staining. Because it is such a frustrating and persistent condition, we are exploring novel approaches as part of a research protocol. However, if you haven't had a recent detailed venous reflux ultrasound, I would recommend that first, as recurrent or new reflux can also cause worsening skin appearance and if present, should be addressed prior to additional skin treatments.

Hemosiderin staining leg - how can this be treated? (Photo)

Answers (1)