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.