Fistulating inflammation of skin following sclerotherapy

The insufficient side branches of the long saphenous vein of a 59 years old woman were treated with descending sclerotherapy (Tournay method) with jod ide containing agents. In the following days a fistulating inflammation dev eloped at the side of injection on the upper leg. This fistulation persiste d over several weeks and was finally excised in tote. Histology exhibited a foreign body reaction with mucine deposits. This case shows, that although a necrosis after sclerotherapy leads in most cases to an atrophic scar, a fistulating inflammation may also develop.