Severe skin changes. Venous eczema and mild ulceration front of leg. Venous pigmentation back of leg. Described some discomfort, heaviness and extreme itch in the lower legs.
Has had problems with her veins and the skin of her lower legs since the age of 25. Family history of a grandmother that suffered with varicose veins.
Post-treatment ultrasound showed all treated areas are successfully closed and no new areas of incompetence have developed. Patient continues to show clinical improvement in the inflammatory skin changes in the lower limbs. There is still some residual erythema over the shins but this is asymptomatic. This patient is prone to develop new areas of incompetence. Such patients have a high risk of recurrent veins and regular follow up with “touch up” sclerotherapy at no less than 12 monthly intervals is recommended.
Total months between photos: 8 months
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