PMC10316411_01
Initial treatment
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F1
A 55-year-old patient with an eight-year history of edema of the lower limb of the leg had constant episodes of erysipelas, despite regular treatments (Figure 1 (Fig. 1)).
Skin with an intense formation of crust
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F2
The edema progressed continually, associated with a change in the color of the skin and the formation of a crust (Figure 2 (Fig. 2)). The physical examination revealed lymphedema that limited the mobility of the ankle and a hardened crust below the knee (Figure 2 (Fig. 2)).
After treatment
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F3
The reduction in volume of the limb was constant with treatment (Figure 3 (Fig. 3)).
Considerable peeling of the skin, which remains dry and dehydrated despite constant moisturizing
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F4
The skin received moisturizing and peeling occurred (Figure 4 (Fig. 4)).
High-frequency ultrasound. Left side of the image: normal right lower limb; right side of the image: left lower limb with lymphedema and disarrangement of skin structures
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F5
At this point, HFUS was performed, which revealed the disarrangement of the structures of the dermal layers and intensive fibrosis (Figure 5 (Fig. 5)).
Skin with substantial improvement, achieving near clinical normality
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F6
Treatment led to considerable improvement in the skin to standards close to normality (Figure 6 (Fig. 6)) and a new ultrasound was performed (Figure 7 (Fig. 7)).
Post-treatment ultrasound showing the onset of the reconstruction of the skin layers
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F7
Treatment led to considerable improvement in the skin to standards close to normality (Figure 6 (Fig. 6)) and a new ultrasound was performed (Figure 7 (Fig. 7)).