varicosity with post herpetic neuralgia

Varicosity with pigmentation (Hemosiderosis), left thigh post herpetic neuralgia and rashes. Chief Complaints A 45 yr old male k/c/o T2DM has come with complains of pigmentation and wound in rt foot for past 25 yrs and painful black pigmented rashes over left thigh since 9 months. It all started in 1995 when he noticed a wound there for which took unkown gel and applied over there without any effect. Few months later he visited ayurvedic quack who applied some paste over the wound resulting in swelling and blood oozing ulceration of the wound. For past 20 yrs he is switching his treatment from allopathy to homeopathy and ayurvedic but no relief. I examined the pt today.. And noticed varicosity over both lower limb and pigmentation due to hemosiderosis. Also on further enquiry.. Pt is having post herpetic neuralgia and rashes over left thigh.

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Absolutely i agree with your observation He is a c/o varicose veins with hemosedirosis hyperpigmentation And post herpetic scars on thigh Pt is diabetic hence study his diabetic profile Order for colour doppler study of affected limb Yes conservative line wouldb Tab daflon 1000mg tds Tab stiloz 50mg 1bd Strapping of limb Keep leg raised and adv to avoid long standings Locally moisturisers nothing else is useful Tab fexofenadine180mg for itching Keep followup Sos adv venous ablation

Thanx dr Kute Ankush
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Good case of varicose veins causing stasis dermatitis and non healing ulcer . Post Herpetic hyperpigmentation and neuralgia on the same side . Venous Color doppler of the limb , surgical opinion Options will be ,in addition to conservative management like limb elevation, elastocrepe stocking, DAFLON capsules -- Injection of sclerosing agents into the saphenous vein. Surgical stripping Endovenous RF ablation of the saphenous vein

Thank you, Dr Samarpal Singh
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? POST HERPETIC..COMPLICATIONS.. PIGMENTATION AND NEURALGIA.. WITH.. VARICOSE VEINS.. NEED'S.. COLOUR DOPLAR STUDY.. VASCULAR SURGEONS OPINION FOR FURTHER MANAGEMENT..

Radio frequency ablation for varicose veins before advise for color Doppler of left lower limb both arterial and venous Need antioxidant evion 400 mg daily