Paul S. van Bemmelen, MD, PhD, Daniel Spivack, MD, Patrick Kelly, RVT

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Presentation transcript:

Reflux in foot veins is associated with venous toe and forefoot ulceration Paul S. van Bemmelen, MD, PhD, Daniel Spivack, MD, Patrick Kelly, RVT Journal of Vascular Surgery Volume 53, Issue 2, Pages 394-398 (February 2011) DOI: 10.1016/j.jvs.2010.08.079 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 The four segments of superficial foot veins that were examined. In addition, plantar veins on the medial aspect of the foot were interrogated. Journal of Vascular Surgery 2011 53, 394-398DOI: (10.1016/j.jvs.2010.08.079) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 A Caucasian patient with hyperpigmentation of the forefoot demonstrating white atrophy of the skin at the base of the second to fourth toes. The ulcer base on the dorsum of the second toe is fibrous with minimal fibrinous exudate. Journal of Vascular Surgery 2011 53, 394-398DOI: (10.1016/j.jvs.2010.08.079) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 African American patient with ulcer at the base of the second toe. The ulcer is surrounded by hyperpigmentation and pseudo-Kaposi sarcoma was histologically confirmed. Journal of Vascular Surgery 2011 53, 394-398DOI: (10.1016/j.jvs.2010.08.079) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 Histologic findings in biopsies taken from the edge of the ulcer lesions: hemosiderin (arrow A), extravasation of red cells (arrow B), capillary proliferation. Journal of Vascular Surgery 2011 53, 394-398DOI: (10.1016/j.jvs.2010.08.079) Copyright © 2011 Society for Vascular Surgery Terms and Conditions