2 Case history:
A 50-year-old female presented with recurrent right lower limb swelling,
dilated veins, and multiple leg ulcers. She also experienced fever and
pain in the affected leg. This wound had been treated as cutaneous
leishmaniasis without any response. Her medical history began 15 years
ago, shortly after giving birth to her only child. Following delivery,
she developed severe pain in her right lower limb and was admitted to
the hospital, where she was diagnosed with deep vein thrombosis.
Treatment with heparin improved her condition initially, but she
continued to experience swelling in her leg over the subsequent years,
accompanied by superficially dilated veins. Approximately 10 years ago,
the right leg started showing color variations on different sides.
Gradually, small lesions developed, causing excruciating pain and
elevated body temperature. Over time, these lesions progressed into
ulcers of various sizes. The patient had been managing the condition by
dressing the ulcers and wearing compression stockings.
Five years ago, she was scheduled for varicose vein surgery; however,
the surgery was canceled due to weak veins discovered during the
procedure. No other significant findings were noted in her medical
history.