12 Years With Varicose Eczema – Shocking Lessons

Last month, I met a patient with varicose
eczema who really shocked me. She had suffered with this condition for 12 years and nothing
had been done. Sadly, the condition is often misdiagnosed and neglected but this is not
what shocked me in her case. In this video, I’ll explain more. I first met Anne when she accompanied her
daughter to my clinic. In fact it was her daughter who had an appointment to see me
as she had varicose veins with phlebitis. During her daughter’s consultation, Anne
who was in the waiting area started chatting with our clinic nurse and she commented that
she had a rash near her ankle. She lifted her trouser leg and showed the rash to our
nurse who instantly suspected varicose eczema. “No, it can be varicose eczema,” said
Anne, “I had my veins stripped 30 years ago and any way, the veins haven’t come
back”. Fortunately, our nurse suggested that Anne book in for a scan just in case.
Although there were no varicose veins to see on the surface, the duplex ultrasound scan
showed that the superficial veins had indeed grown back and that Anne had severe superficial
vein reflux putting her at risk of ulceration. I have now treated Anne by Endovenous laser
and her reflux is cured. Her risk of leg ulceration is reduced. The shocking features of this case history
are that Anne is a nurse who has treated people with leg ulcers and she wasn’t given the
correct advice. The fact that she had had surgical stripping in the past and that there
were no surface varicose veins falsely reassured her that there couldn’t be anything wrong
with her veins. We now know that reflux recurrence after surgical stripping is actually quite
common and the only way to check is to have a duplex ultrasound scan. If you have a rash around or near your ankle,
suspect varicose eczema and be alert to the risk of leg ulceration. Request a duplex ultrasound
scan. Well I hope you found that useful and informative.
Do please remember to subscribe so that you can keep up to date with the latest on leg
health. My name is Dr Haroun Gajraj, thank you for watching

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