A 67-year-old woman with varicose vein and venous ulceration come with a complaint of a 3-month history of skin itching and redness on the right lower leg. It was a unilateral erythema. Examination The patient had dilated and tortuous veins on both lower legs. The right leg had small inflammatory superficial erythematous erosions and excoriations. Palpation revealed warm, dry, and rough skin at the affected site. Investigation Resting pressure (Right): 174 mmHg, Left: 180 mmHg, brachial: 167 mmHg.
Resting ankle/brachial pressure index right: 1.042, left: 1.078. Venous studies showed bilateral saphenofemoral reflux. What are the most likely diagnosis and management? *This case is from Docplexus editorial team for educative purpose only. Source: 100 Cases In Dermatology Stay Connected, the answer will be posted in the next 48h!
