The description is consistent with extravasation of solution into the tissues. This can also be caused by a small AV fistula, which cannot be seen on the surface but pushes the solution to the skin instead of away in the vein.

The solution strength you mention is never used, and am wondering if you gave the correct number? I would recommend using Silvadene cream on the area twice a day with a small dressing. Also, really cleanse the area to help the dark areas come off. It will take time to heal. The area is usually not infected. The redness is inflammation, a reaction to the injury.

You should see the surgeon in charge of the clinic for management, or at least your primary care doc. If you have a support stocking, you can try to wear it while up and around but elevate your leg while resting.

Published on Jul 11, 2012

The foot swelling is the result of the burn. I am more concerned about that. You might need a skin graft. I think you should consult with a dermatologist or plastic surgeon.

Published on Jul 11, 2012

What you are experiencing is a chemical burn from your sclerotherapy treatment. Based on what you said, your doc probably used 5% hypertonic saline in your treatment. Hypertonic saline, although it sounds benign, has a tendency to cause large chemical burns when used either incorrectly or in too high of a concentration. What probably happened was that since you had a large web cluster that was being treated, your doc used too much saline in a given area. The result can be either a local irritation or something you experienced--a chemical burn. That is also probably why you have swelling from the inflammation associated with the burn. The good thing is that the burns do typically heal and resolve but you may be left with a scar. You also want to keep an eye out for a wound infection. If you have any worries of an infection, seek medical attention immediately.

Published on Jul 11, 2012