Vascular congenital malformations and the associated consequences commonly present with skin abnormalities including varicosities, leg ulcers and soft tissue hypertrophy.1 This point is illustrated here.

We present the case of a 67-year-old male patient with a 2 year history of recalcitrant leg ulcer overlying an extensive vascular malformation and varicosities. Clinical examination revealed asymmetric hypertrophy of the upper and lower extremities, an extensive geographic port wine …