Chronic Lymphedema and Venous Stasis Ulceration in a Rural West Virginia Patient: A Case Report Highlighting Urgent Need of Quality Improvement in Rural Wound-Care Management due to Socioeconomic Disparities

This report presents a 55-year-old male with chronic bilateral leg lymphedema and venous stasis ulcerations, whose condition was worsened by delayed vascular intervention. Imaging revealed critical bilateral common iliac vein stenoses greater than 70%. This case highlights the downstream effects of structural socioeconomic barriers on chronic disease outcomes in underserved Appalachian communities. ¹