Medical Must-See: Venous insufficiency leads to ‘tree bark’ legs

The case serves as a reminder of the possible long-term consequences if left untreated.
Hyperkeratosis and nodular skin growths resembling “tree bark” skin changes.

A patient’s chronic venous insufficiency branched out into dermatology thanks to severe hyperkeratosis resembling tree bark on both of his legs. 

The case, reported in Cureus, was rooted in chronic venous insufficiency (VI) and a reminder of the possible long-term consequences if left untreated, the US authors said.  

Their 67-year-old patient had a history of type 2 diabetes, chronic venous ulcers, hypertension and obesity, and he was also refusing wound care, according to his aged care home. 

He was brought to ED after developing lymphoedema with papillomatosis cutis lymphostatica and “severe hyperkeratosis, along with nodular skin growths resembling ‘tree bark’”.