Periosteal reaction due to venous stasis
Ulcers in the lower extremities.
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Radiographs showing an extensive bilateral periosteal reaction, more on the right side, associated with subcutaneous calcifications.
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.