Case History/examination
In August 2023, a 95-year-old man presented to the emergency room at
Razi Hospital in northern Iran with complaints of asymmetric leg pain
and swelling in both legs, particularly in his left foot. The swelling
began two weeks ago and worsened over the past two days. He denied
having a fever, difficulty breathing, rapid heartbeat, chest or
abdominal pain, or weight loss. In addition to the foot swelling, he
mentioned experiencing mild dysuria for an extended period without being
able to specify when it started. His medical history included
hypertension, ischemic heart disease, benign prostatic hyperplasia (BPH)
a previous hospitalization three years ago for COVID-19, cataract
surgery, and surgical removal of a basal cell carcinoma (BCC) on his
forehead. He also reported having multiple sexual partners over the past
two decades. The entire leg exhibited swelling, with the calf showing
more than 3 cm of swelling compared to the other leg. Localized
tenderness was noted along the deep venous system, and pitting edema was
observed in the left leg.