Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, your brother seem to suffer from- Varicose Eczema with petechial hemorrhages causing black skin of the foot and lower leg with Varicose Veins. Remedy-to Help your brother s Varicose Vein problem- -Conservative Solution- Rest to the leg with head low position of the Bed x 3-6 weeks would recover the problem and its severity at the foot and its skin. Venostockings -used whole day and removed at night,would give a lot of pleaurable time to work for your responsibilities and enjoy life. Cap Dafflon-to strengthen weak veins would help in fast recovery of your skin condition. -Surgical Solution- Once your brother s leg recovers from the serious afflictions caused to skin of his leg, EVLT -Endo VEnous Laser Treatment-would help you to have permanant solution to the Incompetant Varicose Vein problem your brother has. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVT