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Diona L. Damian, PhD; Eleni Yiasemides, MBBS; Sandeep Gupta, BAppSc; Katherine Armour, MBChB

Arch Dermatol. 2009;145(3):330-332.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Lipodermatosclerosis (LDS) consists of lower-leg inflammation and woody induration in patients with chronic venous or lymphatic hypertension.¹ Acute LDS may be painful and is frequently misdiagnosed as cellulitis. While compression stockings¹ may be helpful, therapeutic options are limited. Ultrasound treatment of LDS was reported once more than 25 years ago²; we now report 16 legs treated with this technique.

Methods

After we received approval from Sydney South West Area Health Service and Sydney University Ethics Committees, all patients provided written informed consent.

We used 3-MHz continuous ultrasound (US3M; TGS Electronics Pty Ltd, New Gisborne, Australia) thrice weekly for 4 to 8 weeks, commencing at 0.7 W/cm² (5 minutes per 50-cm² area) and increased to 1 to 1.5 W/cm² for 8 minutes. All patients were instructed to wear grade 2 compression stockings (30-40 mm Hg). For patients treated . . . [Full Text of this Article]

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