Abstract :
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
Keywords :
Appalachian Community, Socioeconomic Status, Vascular Intervention., Venous UlcerationsReferences :
- Appalachian Regional Commission. (2017). Health Disparities in Appalachia. Retrieved from https://www.arc.gov
- Rockson, S. G. (2018). Lymphedema. American Journal of Medicine, 131(3), 276-282. https://doi.org/10.1016/j.amjmed.2017.09.027
- Gupta, A. K., & Meara, J. G. (2020). Venous ulcers: Pathogenesis and evidence-based management. British Journal of Dermatology, 183(3), 401-412. https://doi.org/10.1111/bjd.18850
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- Centers for Disease Control and Prevention. (2025). Rural Health: Chronic Disease Disparities. Retrieved from https://www.cdc.gov
- Appalachian Regional Healthcare. (2025). Appalachian Regional Healthcare Announces New Women’s Services in Martin County. Retrieved from https://www.arh.org/newsfeed/arh-announces-new-womens-services-in-martin-co unty
