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Both legs, for the third time

A 74-year-old is on a third course of antibiotics this year for 'cellulitis' of both lower legs, which are swollen, itchy, brown and scaly.

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Presentation

Presentation

A 74-year-old with long-standing varicose veins and a previous deep vein thrombosis presents with bilateral swollen, itchy, red-brown, scaly lower legs, labelled cellulitis three times this year and unresponsive to antibiotics. She is afebrile and well.