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Marked Hyperpigmentation and Xerosis of the Lower Leg

By Robert B. Blereau, MD | January 11, 2013
Family Physician, Morgan City, Lousiana

 


Answer:

D. Postphlebitic syndrome

Discussion
The hyperpigmentation and xerosis began 30 to 40 years ago after thrombophlebitis developed after this man fractured his lower leg. The medial lower leg occasionally ulcerates. The patient wears elastic stockings. When the leg is dependent without these stockings, it rapidly swells. The patient was referred to a specialist, who recommended continued conservative treatment.

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