A 47-year-old hairdresser presents in the vascular clinic. She has been complaining of pain in the right leg on prolonged standing and has noticed unsightly, distended veins in that leg for the past 2 years. For the past 3 months, she has also had itching of the skin just below the knee with a red patch in that area. She is currently on treatment for hypertension with no other past history of note. She has two children. Examination A distended vein can be felt in the medial aspect of the mid-thigh running down to the knee.
There are numerous varicosities around and below the knee. There is an erythematous patch of skin approximately 3 cm in diameter overlying one of the below-knee varicosities. A thrill is palpable at the sapheno-femoral junction when the patient coughs. Foot pulses are strongly palpable. What can be the probable diagnosis? *This case is from Docplexus editorial team…
