Plaques on the lower extremities

Case #1

A woman, aged 55 years, presented with bilateral lower-extremity erythema, edema and pain for two months. She had been treated with two distinct courses of oral antibiotics for presumed cellulitis without improvement.

Further discussion revealed a one-year history of occasional edema in the lower extremities. Medical history was significant for diabetes, hypertension, and heart failure. Vital signs were within normal ...