Indurated vascular plaques on the legs of an 85-year-old woman
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https://doi.org/10.5070/D34xq6j7rxMain Content
Unknown: Indurated vascular plaques on the legs of an 85-year-old woman
Stephanie A Ortman1, Christopher J Huerter1, David Lynch2, Daniel Olson2, Deba P Sarma2
Dermatology Online Journal 18 (3): 14
1. Department of Dermatology, Creighton University Medical School, Omaha, Nebraska2. Department of Pathology, Creighton University Medical School, Omaha, Nebraska
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| Figure 1 |
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| Figure 1. Clinical photograph |
An 85-year-old white woman presented with indurated vascular plaques on both legs below the knee (Figure 1) present for two years. She has been told in the past that it was stasis dermatitis. The lesions and associated mild pruritus had not responded to applications of fluocinonide cream. The patient’s past medical history included breast cancer treated by lumpectomy, as well as hypertension, hypothyroidism, and gout. There was no history of immunodeficiency disease or hereditary cancer and she denied having other family members with similar cutaneous lesions. She had lived in Omaha her entire life. Physical examination revealed purple, indurated plaques limited to the skin below the knees. There were no similar lesions anywhere else on the body. There was no evidence of stasis edema about the feet and ankles or any associated lymphadenopathy.
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