Abstract
A 63-year-old woman who had been treated for systemic sclerosis for four years developed synchronous stasis ulcers on both lower legs due to varicose veins. The ulcers appeared within nine months of each other. She had worked in a restaurant for more than 12 hours per day for 45 years. The great saphenous veins had been stripped and incompetent perforating veins in each leg had been directly transected or treated by sub-fascial endoscopic perforator surgery using a two-port system. The ulcers completely healed about 10 weeks after surgery without worsening the systemic sclerosis. However, the skin and subcutaneous areas around the left knee became inflamed where the varicose veins had been removed using stab avulsion, and required several weeks to heal. The inflammation may have developed due to the fragility of the skin associated with systemic sclerosis.
