My derm over injected my vein causeing it to explode & the sclerotherapy solution got under my skin. He didn't tell me any of this at the time. He injected me w/ another injection after returning to the room 20 min later. I asked what he was putting in my leg & he said an anti inflammatory to keep the swelling down. Told me I may get a little skin break in a week and to put a bandaid over it. A week later the area was black and felt like leather. Then shortly after that, the area became concaved
February 2, 2017
Answer: Post-sclerotherapy ulceration Thanks for your question, and I'm sorry to see you suffered this complication. Ulcers like these can happen in 1-2% of patients who undergo sclerotherapy, and can happen for a number of reasons. When I encounter these I generally do not debride them. Rather we have the patient keep the area moist so that it heals appropriately and may even give them a special wound healing ointment like Biafine. It does typically heal with a scar, and if this is unsightly you may be able to make the scar look better with laser resurfacing treatments. Best of luck to you!
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February 2, 2017
Answer: Post-sclerotherapy ulceration Thanks for your question, and I'm sorry to see you suffered this complication. Ulcers like these can happen in 1-2% of patients who undergo sclerotherapy, and can happen for a number of reasons. When I encounter these I generally do not debride them. Rather we have the patient keep the area moist so that it heals appropriately and may even give them a special wound healing ointment like Biafine. It does typically heal with a scar, and if this is unsightly you may be able to make the scar look better with laser resurfacing treatments. Best of luck to you!
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February 2, 2017
Answer: Sclerotherapy gone bad This is a skin breakdown from extravascular injection of sclerosing agent in the dermal layer. It should heal on its own over time but a scar defect may result. It is important to keep the area clean and infection free. Neosporin or Bacitracin ointment can be applied over the ulceration and I would avoid excessive sun exposure. There are other healing agents that many dermatologist offer to help with scarring.
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February 2, 2017
Answer: Sclerotherapy gone bad This is a skin breakdown from extravascular injection of sclerosing agent in the dermal layer. It should heal on its own over time but a scar defect may result. It is important to keep the area clean and infection free. Neosporin or Bacitracin ointment can be applied over the ulceration and I would avoid excessive sun exposure. There are other healing agents that many dermatologist offer to help with scarring.
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