What Caues Black And Blue Discoloration Around Ankles?

Posted on Tue, 21 Oct 2014

Question: When you turn black and blue around ankle and up leg plus swelling by night but down in the morning what is it?? The Foot Dr. said it is some kind of IRON VEIN or that the vein is leaking but nothing to do about it except to get some support hose. The patient is 32 yrs. old male and works at a mill. Where could I take him next?? This doesn't make sense.

Answered by Dr. Hari Charan Perigela (1 hour later)

Brief Answer:
It could be due to Varicose vein.

Detailed Answer:
Hi
As per your description, it looks like varicose vein.
The changes appear when he is in standing position.It disappears in lying down posture.
You should consult a vascular surgeon and get an Colour doppler of the lower limb. Venous system has to be examined.
Stockings may help temporarily.
Hope I answered your query.
If you have any questions, I will clarify further.
Wish him good health.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hari Charan Perigela (1 hour later)

She did not think that it was varicose veins. He does have Factor 5 Lidden Blood Disease and takes one adult asperin a day also he has had 2 strokes. He is 6 2 and weighes 320. She said his work boots was irritating it. He got calf length boots and his old ones were angle length and they didn't bother it. Thanks for your time!! XXXX

Answered by Dr. Hari Charan Perigela (5 hours later)

Brief Answer:
Colour doppler will give a clue.

Detailed Answer:
Hi
Colour doppler of the affected lower limb will give a clue to the diagnosis.
Please consult vascular surgeon for further management.
Nothing to worry.
If you come back after the consultation, I will clarify further.
Regards

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Above answer was peer-reviewed by : Dr. Shanthi.E