A 67-year-old woman was presented with a 3-month history of skin itching and redness, particularly on the right leg. The erythema was unilateral. The patient has a problem of varicose veins and a history of venous ulceration, which has now healed. The patient is scheduled for bilateral varicose vein surgery. Examination The patient had dilated and tortuous veins on both lower legs. Right lower leg had small inflammatory superficial erythematous erosions and excoriations.
Affected site was warm, dry, and rough on palpation. Vascular studies Resting pressure: Right: 174mmHg, Left: 180mmHg, brachial: 167mmHg Resting ankle/brachial pressure index: right 1.042, left: 1.078. Venous studies showed bilateral saphenofemoral reflux. What is the most likely diagnosis? * This case is from Docplexus editorial team for educative purpose only. Source: 100 Cases In Dermatology Stay connected,…
