There was no palpable thrill or bruit, no clinical evidence of varicose veins and no significant lymphadenopathy. All the peripheral pulsations were well felt. Systemic examination was within normal limits. [ncbi.nlm.nih.gov]

CASE REPORT A Forty five-year-old previously healthy female presented with complaints of swelling and pain in bilateral feet for eight years and history of recurrent episodes of multiple nodules over bilateral legs and feet, which burst to form ulcers [ncbi.nlm.nih.gov]

There were some small ulcers on the left leg laterally and chronic inflammation in the left first interdigital cleft but no evidence of critical ischaemia or gangrene. [ejves.com]

(Vascular Diseases: Various forms of Vasculitis) Visit: Dermpath- India ; Image Link1 ; Image Link2 [histopathology-india.net]

Stasis dermatitis - (unlike stasis dermatitis, acroangiodermatitis is usually associated with minimal epidermal changes and eosinophils in the inflammatory infiltrate in the dermis ) ; Pigmented purpura ; vasculitis. [histopathology-india.net]

The purpura do not generally present fibrosis and eosinophiles. In vasculitis, the differential histological diagnosis is simplified by the presence of vascular fibrinoid necrosis. [scielo.br]

[…] malformation of the lower leg with multiple AV shunts), Mali type (an exaggerated stasis dermatitis seen in elderly patients, which is usually bilateral associated with chronic venous insufficiency), Acroangiodermatitis in first pregnancy presenting as gravity purpura [ncbi.nlm.nih.gov]

Patients present with itchy, painful, confluent, violaceous or brown-black macules, papules or plaques usually at the distal lower limbs. There may be ulceration and bleeding. [en.wikipedia.org]

Clinical presentation: The lesion presents as circumscribed violaceous, brown or dusky macules, papules, plaques and nodules. [histopathology-india.net]

[…] and plaques on the edematous skin.[7] It presents clinically as acroangiodermatitis characterized by multiple papules, nodules and plaques, sharply defined reddish-brown, sometimes in bizarre configurations, generally localized on the dorsal aspect of [ncbi.nlm.nih.gov]

Multiple irregular ulcers with surrounding hyperpigmentation and multiple scars present over lateral aspect of left foot and lower leg Single superficial ulcer over medial malleolus of right foot in healing stage with surrounding hyperpigmentation Proliferation [ncbi.nlm.nih.gov]

View Large Image Figure Viewer Download Hi-res image Download (PPT) Conclusion Acroangiodermatitis is a rare, benign condition associated with chronic venous insufficiency and may progress to foot ulcers. [ejves.com]

Other features : Hyperkeratosis of overlying epidermis ; extravasated red blood cells, hemosiderin and variable infiltrate of lymphocytes around vascular proliferation. [histopathology-india.net]

We hereby describe a case of 45 year old female presenting with pitting pedal edema, multiple ulcers over bilateral lower limbs with irregular margins with erythema and hyperpigmentation of the surrounding skin. [ncbi.nlm.nih.gov]

Moderate amount of hemosiderin deposits were seen around these vessels with perivascular lymphocytic infiltrate and mucin [Figure 2]. [ncbi.nlm.nih.gov]

In vasculitis, the differential histological diagnosis is simplified by the presence of vascular fibrinoid necrosis. [scielo.br]