A 76-year-old healthy male, with a past medical history notable for chronic venous insufficiency, mild diabetes mellitus, hypertension, and lower back pain, presented for the management of non-healing ulceration on the lower leg. The ulceration persisted for seven weeks. Bilateral lower extremity edema, varicose veins and vascular blebs, brawny hyperpigmentation and xerotic changes, with a 1.4 x 2.6 cm ulceration overlying the left medial malleolus were noted.
No evidence of superinfection Normal sensory and motor testing of the legs Strong, symmetric pedal pulses Patient does not use compression socks What is the most likely diagnosis? (The answer is posted in the comment section below!) *This Case Challenge is from the Editorial Team of Docplexus and is meant for educational purposes only. ##Disclaimer## The content provided on Docplexus is intended for educational purposes only.…
