This occurs in the middle to late years of life and appears on the lower legs. It is caused by poor circulation. It is also known as stasis eczema. It affects the ankles, which become speckled, itchy and inflamed. It should be treated with emollients and steroid creams. If untreated, an ulcer may develop. A common problem that is associated with varicose ulcers is contact allergic eczema caused by medications applied to the skin such as topical antibiotics, lanolin and also preservatives in various preparations. If this is suspected, skin patch testing may help to identify the problematic substance.