ABSTRACT
This chapter presents the case study of a 33-year-old woman. A 33-year-old woman attends the dermatology clinic with a 9-month history of unilateral leg swelling. Although the swelling is a cause of significant cosmetic concern, it is fairly asymptomatic. She is otherwise fit and well. She has travelled within France, Sweden and North America over the last 10 years but never visited the tropics. She is not taking any medication. There is no family history of similar swelling or varicose veins. There is unilateral swelling of the entire left leg, including toes and extending to the groin. There is no involvement of the skin above the inguinal ligament. The oedema is non-pitting and non-tender. Over the distal anterior shin, the skin is erythematous, with evidence of early verrucous or cobble-stone change, but there is no crusting, oozing or ulceration. There are no palpable lymph nodes. Examination of her cardiorespiratory system, abdomen and pelvis was normal.
