Abstract
A 45-year-old African American man with a past medical history of Graves disease (GD) presented to the dermatology clinic for evaluation of a 10-year history of painful lesions on his bilateral lower legs. The patient reported symptoms of lower extremity edema, which worsened by prolonged standing. Treatments included compression stockings without improvement. A physical exam demonstrated firm, non-pitting edema and hyperpigmentation of his bilateral lower legs with many verrucous papules and plaques (Fig 1).
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