Case of bilateral acroangiodermatitis due to symmetrical arteriovenous fistulas of the soles.

A 58-year-old woman presented painful chronic inflammation of the outside skin of the bilateral soles. A skin biopsy revealed chronic inflammation of the dermis and subcutaneous tissue, as well as the marked dilatation and proliferation of capillaries and veins, and the thick deposition of elastic fibers around the thick-walled veins. 3-D contrasted computed tomography of the lower extremities demonstrated early bilateral imaging of the veins, and fistulas of the peroneal as well as posterior tibial artery and vein of the bilateral soles. On the basis of a diagnosis of bilateral acroangiodermatitis due to symmetrical arteriovenous fistulas, the patient underwent compression therapy using elastic bandages, and the symptoms reduced in several days.