3 Methods:
On examination, the right lower limb exhibited significant swelling
compared to the left limb, along with dilated superficial veins below
the knee. There was noticeable discoloration in the distal leg,
primarily medially over the ankle joint. The area showed varying shades
of darkness at the periphery, gradually transitioning into a tight pink
to reddish center. Multiple lesions were present, including a 3x2 cm
dark swelling with a red sore measuring 0.5 centimeters located above
the medial malleolus, and two ulcers measuring approximately 2x2 cm each
with sloping edges and a red floor (Figure 1). The skin in the affected
leg was tough and warm when compared to the other leg. No regional
lymphadenopathy was observed, and distal pulsation remained intact.
Cytology test was performed on the ulcers, which revealed no malignant
changes and the scraping materials were negative for Tuberculosis and
Leishmania using molecular assay.