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Images in Clinical Medicine
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Volume 358:e10 February 28, 2008 Number 9
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Chronic Venous Insufficiency and Dystrophic Subcutaneous Calcification

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A 70-year-old woman was referred by her general practitioner for evaluation of an ulcerative lesion on her lower right leg. Subcutaneous white calcifications were seen (Panel A, arrow). She had worn compression stockings for several years because of bilateral recurrent ulcers caused by venous stasis. Chronic venous insufficiency was seen on duplex ultrasonography. The patient had no other associated illnesses and had normal levels of C-reactive protein, parathyroid hormone, calcium, phosphorus, serum creatinine, and 25-hydroxycholecalciferol. Chronic venous insufficiency may be accompanied by subcutaneous calcifications. These calcifications are often discovered by chance on plain radiographs (Panel B, arrows) or on ultrasonographic . . . [Full Text of this Article]

 



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