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11 Apr 2006
concerning post thrombotic syndrome
I had a guy come to my house the other day to borrow some wine, while he was there i noticed he had something wrong with his legs. He had what looked like a pale blue scaly fungus growing bilaterally from his knees down. He said he had had it for a week and that it was not itchy. He is a 55 year old male with a 7 year (estimate) history of heavy smoking, drinking and a very sedentary lifestyle. He also once had a thrombosis which affected both his legs which are still mildly swollen and have never completely healed. I am a second year med student and he asked me what he should do (for whatever reason he doesnt want to see a doctor). At the time i thought it may be some kind of fungus so i prescribed him a fungicide to deal with it. The next day at university i was talking to a friend and he told me that an uncle of his had the same symptoms, he said it had to do with varicose veins and that his uncle had to have his legs amputated. I now suspect post thrombotic syndrome, am i right. What do you think.
I think it is best to discuss your suspicion with a physician.
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