REPORT OF A CASE
A 70-year-old woman presented with cutaneous ulcerations of the lower extremities of 3 years' duration. The first ulcer occurred at a site where she had sustained a small puncture wound on her right ankle after striking it on her dishwasher. Initially, redness and tenderness developed around the site. Eventually the skin broke open and formed a nonhealing ulcer. Subsequently, other ulcers developed on both lower legs that were usually painful and were sometimes associated with red nodules. They eventually involved the lower legs, ankles, feet, and thighs. A few of the ulcers finally healed with large, deep scars, but most failed to heal over many months. There was never any association with fevers, chills, sweats, or other systemic symptoms.The patient stated that her general health had been good, except for the development of asthma approximately 15 years before the onset of her cutaneous ulcers. Her
Johnson S, Weir TW. Multiple Cutaneous Ulcers of the Legs. Arch Dermatol. 1993;129(9):1193–1194. doi:10.1001/archderm.1993.01680300121023
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