This patient is showing severe venous discoid eczema due to not getting his varicose veins treated earlier. He presented to my clinic with severe leg pain and skin condition that his doctors have been treating with hydrocortisone cream for apparently years.. There is a component of hyperpigmentation as well.
Over the Christmas, I read an interesting article highlighting the superiority of Laser over the Radiofrequency when it comes to treating the vein reflux.
M. Dermody et al published in Journal of Vascular Surgery “Complications of Endovenous Ablation in Randomized Controlled Trials” After analyzing 17 randomized controlled trials, his group found that EVLA had the lowest wound infection 0.5% vs RFA 1.5% and L&S 2.3%. In addition, EVLA had the lowest paresthesia rate of 3.8% vs RFA 5.2% and L&S 7.4%. They found that other complications were similar. I have been a big proponent of laser treatment over radiofrequency, and this just reinforces the negatives of using radiofrequency to treat the patients.
Alex Kim, MD, RPVI
BELLAGIO CLINIC, Medical Director
We know that the hallmark sign of venous insufficiency is a patient’s tendency to elevate their legs as much as possible. Observe….