The White House initially blamed the bruising on hand shaking, echoing Trump, who gave Time the same reason for the apparent injury during an interview in December, telling the magazine its from shaking hands with thousands of people. Elaborating on the bruising in July, the White House released a letter from the presidents physician, Sean Barbabella that said the bruising is consistent with minor soft tissue irritation from frequent handshaking and the use of aspirin, which is taken as part of a standard cardiovascular prevention regimen. The letter revealed Trump was diagnosed with chronic venous insufficiency, what Barbabella said is a benign and common condition, particularly in individuals over the age of 70, but testing showed there was no evidence of deep vein thrombosis (DVT) or arterial disease. Trump has also been photographed with swollen ankles during his second term, and Barbabella said in his letter Trump noted mild swelling in his lower legs and out of an abundance of caution, this concern was thoroughly evaluated by the White House Medical Unit. What Is Chronic Venous Insufficiency

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