[49F] With chronic lower leg swelling and weeping sores
Patient Description
A 49-year-old female with a history of Vascular Ehlers-Danlos Syndrome presents with chronic swelling, redness or purple discoloration, and open sores on the lower legs for the past 2-3 years. The sores often start as blisters, weep a sticky fluid, and have no odor. Symptoms worsen when standing or sleeping sitting up, with a dull ache rated 6-7/10. Partial numbness is noted in the left leg, and the legs feel warm when red. Veins become swollen, with varicose veins on the feet. The patient bruises easily and has a family history of Ehlers-Danlos Syndrome. No current medications for the condition, but takes Tylenol 500mg for migraines, 2-3 times a month. Allergic to benzyl peroxide and requires special sedation for anesthesia.
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Arora's Assessment
What might be happening
Based on your symptoms and history of Vascular Ehlers-Danlos Syndrome (vEDS), the issues with your legs could be related to:
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Chronic Venous Insufficiency (CVI): This occurs when the veins in your legs don't allow blood to flow back to your heart properly, leading to swelling, discoloration, and sores. vEDS can contribute to vein problems due to its effect on connective tissue.
- Treatment: Compression stockings, leg elevation, and avoiding prolonged standing can help. A healthcare provider might suggest medications or procedures to improve vein function.
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Venous Ulcers: These are open sores that develop when blood pools in the veins, often due to CVI. They can start as blisters and become weeping sores.
- Treatment: Keeping the area clean, using prescribed dressings, and possibly antibiotics if there's an infection. A doctor might recommend specialized wound care.
What you can do
- Elevate Your Legs: Try to keep your legs elevated above heart level when resting to reduce swelling.
- Compression Stockings: Consider using compression stockings to improve blood flow. Consult with a healthcare provider for the right fit.
- Skin Care: Keep the skin moisturized and clean to prevent infection. Avoid hot baths as they might worsen swelling.
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
What you should look out for
- Signs of Infection: Increased redness, warmth, or pus in the sores.
- Severe Pain or Swelling: If these worsen, seek medical attention.
- New Symptoms: Any new or rapidly changing symptoms should be evaluated by a healthcare professional.
Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment plan.
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4 mo ago