Nonhealing venous ulcer in a patient with dystrophic soft tissue calcification

Abdullah Nasif; Karen Bauer; Vanessa Pasadyn; Ayman Ahmed; Munier Nazzal; Mohamed Osman

doi:10.1016/j.jvscit.2022.02.001

Nonhealing venous ulcer in a patient with dystrophic soft tissue calcification

J Vasc Surg Cases Innov Tech. 2022 Mar 4;8(2):164-166. doi: 10.1016/j.jvscit.2022.02.001. eCollection 2022 Jun.

Authors

Abdullah Nasif¹, Karen Bauer¹, Vanessa Pasadyn², Ayman Ahmed¹, Munier Nazzal¹, Mohamed Osman¹

Affiliations

¹ Division of Vascular Surgery, Department of Surgery, University of Toledo Medical Center, Toledo, OH.
² College of Medicine and Life Sciences, The University of Toledo, Toledo, OH.

Abstract

Venous leg ulcers (VLUs) are lesions of the skin found in regions of venous hypertension. VLUs that fail to heal can become chronic, especially because of calcified deposits in the bed of the ulcer. The unclear mechanism behind the cause of calcification poses a challenge when approaching diagnosis and management. In the present report, we discuss the case of a 58-year-old woman who had presented with a chronic VLU that was resistant to healing despite numerous interventions. During a 3-year period, a multidisciplinary team was involved to provide medical and surgical care. Eventually, she was found to have dystrophic calcification of the VLU.

Keywords: Calcification; Leg ulcer; Venous ulcer.

Publication types

Case Reports