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omicsonline.org/open-access/skin-problems-in-the-lower-legs-of-morbidly-obese-patients-and-the-possible-role-of-bariatric-surgery-2165-7904-4-230.pdfMorbidly obese patients often present with skin changes and ulcerations in their legs similar to those found in patients with chronic venous insufficiency (CVI), although its exact prevalence is unknown. These skin changes can include oedema, erythema, haemosiderin pigmentation and lipodermatosclerosis, amongst others (Figure 1). However, there is often no obvious manifestation of venous disease in the form of varicose veins, leading to the question of whether these skin changes are part of the CVI spectrum, or if they are caused by other pathologies. The association between obesity and CVI from various epidemiological studies has been previously documented, with venous stasis shown to be a factor. Consistent with this observation, duplex ultrasound studies in obese individuals have shown decreased femoral vein flow and increased femoral vein diameter, in comparison to non-obese individuals. Obesity is also a known risk factor for lower limb skin ulceration in patients with documented venous disease. For more information, kindly go through the article: https://www.omicsonline.org/open-access/skin-problems-in-the-lower-legs-of-morbidly-obese-patients-and-the-possible-role-of-bariatric-surgery-2165-7904-4-230.pdf
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