A chronic poorly healing wound on the right lateral trunk

An 82-year-old man with a history of hypertension and coronary artery disease presented with a 6-month history of a chronic poor healing wound. He had undergone coronary artery intervention three times within the past 2 years, with development of painful erythema on the right lateral trunk immediately after the third procedure. In the following months, ulcers developed within and showed no tendency to heal. The physical examination revealed a 7 cm × 8 cm hyperpigmented indurated patch with overlying ulcers and telangiectasia on the right lateral trunk (Fig 1).

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