Periosteal reaction from chronic venous insufficiency

Case contributed by Mohammad A. ElBeialy
Diagnosis almost certain


Diabetic with skin ulcers and leg pain.

Patient Data

Age: 80 years
Gender: Male

Solid, wavy, irregular and continuous periosteal reaction in the tibia and fibula secondary to chronic venous stasis. 

Multiple subcutaneous soft tissue plaques and calcifications (phleboliths) on the medial and posteromedial aspect of the leg with soft tissue thickening as well as multiple cutaneous ulcerated lesions (venous ulcers).

Diffuse medial calcinosis of the popliteal and infra-popliteal vessels are noted.

Case Discussion

Chronic venous insufficiency periosteal reaction.

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