Unilateral Chronic Ulcerated Nodules on the Leg of a Young Male

Acroangiodermatitis of Mali or pseudo-Kaposi sarcoma is a benign vascular condition associated with underlying vascular anomalies that affects the lower limbs with purple patches or nodules. A young male presented with varicosities and pedal oedema in both legs for several years, subsequently developing ulcerated nodules over his right leg. Upon clinical and histopathological evaluation, he was diagnosed with acroangiodermatitis of Mali on his right leg, associated with underlying chronic venous insufficiency in both legs. The patient showed remarkable improvement following treatment with compression bandages and lesion debridement. This case is noteworthy due to its rarity in the younger population and its unilateral manifestation.