PMC5726701_01
Initial clinical aspect: ulcer affecting almost the whole circumference
of the left lower limb. A: Lateral view. B:
Posterior view. C: Medial view
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PMC5726701_01_abd-92-05-s1-0129-g01.jpg
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A 58-year-old female patient, phototype V, had a painful ulcer for 30 years on the left lower limb, that appeared after trauma to the medial malleolus, of progressive growth followed by edema (Figure 1).
Healing of the smaller PG ulcers after starting treatment with
methotrexate and prednisone. A: Anterolateral view.
B: Lateral view. C: Medial view
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She had a good response in the PG lesions, but the initial ulcer persisted (Figure 2).
Current aspect, with increased area of ulceration due to PG activity in
the border of previous ulcer. A: Lateral view.
B: Medial view. C: Posterior view
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In the beginning of 2016, she started treatment with hyperbaric chamber, which is ongoing, together with follow-up for dressings (Figure 3).