Medical Case Reports

Biography

Biography: Ertan Yetkin

Abstract

Symptoms of peripheral varicose vein or chronic venous insufficiency include aching, itching, restless leg, edema, muscle cramps, leg ulcers, tightness, heaviness and cosmetic concern as well. Here I present a female patient with varicose vein symptoms and ecchymosis on lower extremities. Case: A 35 years old female presented with the symptoms of ecchymosis on her both legs and thighs for several weeks. Her detailed history revealed any known systemic disease, recent infection or malignancies. She denied using of any drugs such as anti-platelets or anticoagulants. Her physical examination was normal except the ecchymotic lesions and varicose vein on both lower extremities. There were several irregular shaped ecchymotic lesions on both extremities in different stages of healing from deep purple to brownish pigmentation. She was then queried for the presence of venous symptoms such as restless leg aching, muscle cramps, and itching. She noticed she had been suffering from muscle cramps especially in the night for several weeks, and she noticed new ecchymotic lesions mainly the day after she had muscle cramps. Her laboratory examination was normal. She was given to micronised purified flavonoid fraction treatment. After one month follow up period she was free of any symptoms and there were no ecchymotic lesions on her extremities. Although this is the first reported case, I believe that this is not the first case in clinical practice. Extravasations of blood components namely erythrocytes during the muscle cramps are likely for the mechanism of ecchymosis. Regarding the diagnostic challenge of venous leg symptoms, ecchymosis should be also taken into consideration in the differential diagnosis varicose vein or venous insufficiency