Abstract:
Venous ulcers can sometimes be difficult to diagnose accurately because
they can resemble other skin lesions such as cutaneous leishmaniasis.
Here, we present a patient with venous ulcer that mimic cutenous
leshmaniasis and mycetoma lesion. A50- year- old female patient
presented with a non-healing venous ulcer in her right lower leg, which
was suspected to be cutaneous leishmaniasis, ulcerated mycetoma lesions,
and misdiagnosed as cutenous leshmaniasis. She was referred to our
clinic, where color Doppler sonography results revealed several findings
that are consistent with chronic venous insufficiency, including
incompetent superficial femoral junction (SFJ) with short reflux among
the great saphenous vein (GSV), and incompetent saphenopopliteal
junction (SPJ) with short reflux along the small saphenous vein (SSV).
Additionally, the examination showed patency and compressibility of both
GSV and SSV, as well as the presence of superficial varicose veins.
Surgical closure of the fistula was done. This case report highlights
the challenges in distinguishing venous ulcers from mycetoma and
cutaneous leishmaniasis. Our case emphasizes the importance to consider
a comprehensive assessment of the patient’s medical history, physical
examination, and potentially other diagnostic tests. Collaborating with
experienced healthcare providers, such as dermatologists or wound care
specialists, may also be beneficial in confirming the diagnosis and
developing an appropriate treatment plan.