Sonography of skin verrucous hyperplasia related to venous stasis and effects of compression treatment

Verrucous hyperplasia of the skin (VHS) occurs rarely in legs with severe venous stasis. In these cases, sonography demonstrates thickening and hyperechogenicity of the skin layers. The core of the verrucous-like protrusions consisted of a fibrous lump of the reticular dermis, surrounded by an anechogenic layer and covered by a thickened epidermal shell. Compression treatment provokes the progressive disappearing of the dermal plications accompanied by reduction of the cutaneous and subcutaneous edema and infiltration. Concluding, ultrasound easily demonstrates the histological changes of VHS and allows to evaluate the evolution of the disease and the efficacy of treatments.