Periosteal reaction due to venous stasis

Case contributed by MD Ciro Menna Barreto Duarte

Presentation

Ulcers in the lower extremities.

Patient Data

Age: 67-year-old

Legs X-rays

Modality: X-ray

Radiographs showing an extensive bilateral periosteal reaction, more on the right side, associated with subcutaneous calcifications.

Case Discussion

This is a 67yo female patient with a known history of diabetes mellitus, chronic kidney disease stage 5, and venous insufficiency. She was admitted by nephrology for dialysis and has a history of chronic lower limbs ulcers for more than four years.

On examination: ulcer extensive in the right lower limb, shallow, with no signs of necrosis but presenting fibrin. Important lymphedema, but warmed and perfused limb. Conclusion: Chronic venous disease, with trophic changes without infection.

The radiographs show soft tissue calcification due dystrophic changes, periosteal reactions, which, in this case, are probably related to the chronic venous stasis. 

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Case Information

rID: 43480
Case created: 13th Mar 2016
Last edited: 16th Mar 2016
Inclusion in quiz mode: Included

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