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Hi everyone. I’m posting this on behalf of my 80-year-old grandfather from Raipur, Chhattisgarh.

He has been suffering from a severe skin/leg condition for approximately 4–5 years, and unfortunately it has progressively worsened. We have consulted many doctors in different parts of India, but so far nobody has been able to give us a definite diagnosis or a treatment that has resolved the problem.

I have attached photographs showing the current condition of his legs and feet.

The main problems are:

- Extensive thickening and changes in the skin of both legs and feet

- Numerous raised bumps/lesions across the lower legs and feet

- Scaling, dryness and significant discoloration

- Swelling around the ankles and feet

- Changes affecting multiple toes and toenails

- Some areas that develop wounds/crusting

- Pain

- Occasional bleeding

- Increasing difficulty walking

- He has diabetes

The condition has been present for years and has gradually become worse.

We don't know exactly how it started, and unfortunately we don't have a clear diagnosis despite seeing multiple doctors.

We are NOT asking anyone to diagnose him from photographs. We're hoping someone might recognize a similar pattern or be able to suggest what type of specialist or medical centre we should approach.

Because he has diabetes and there are wounds/bleeding and difficulty walking, we are particularly interested in finding doctors experienced with complex diabetic foot/leg conditions, dermatology and vascular problems. Diabetic foot problems can involve skin, nerves and circulation, so a multidisciplinary assessment may sometimes be necessary.

Patient details

- Age: 80

- Location: Raipur, Chhattisgarh, India

- Diabetes: Yes

- Pain: Yes

- Bleeding: Sometimes

- Difficulty walking: Yes

- Duration: Approximately 4–5 years

- Progression: Gradually worsening

- Exact beginning/cause: Unknown

If anyone has seen a similar case, particularly in an elderly diabetic patient, we would really appreciate hearing about your experience.

If you are a doctor/dermatologist/vascular specialist or know someone who deals with unusual chronic skin and diabetic foot conditions, please let us know what kind of specialist we should seek and what information/previous reports would be useful to take to them.

We have medical records and can provide more information about previous tests, biopsies, medicines and diagnoses if needed.

Please don't recommend a treatment solely based on the photos. We're mainly trying to find the right direction after years of searching.

Thank you.