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During a press briefing, Leavitt said that Trump noticed “mild swelling” in his lower legs and received a check-up from the White House medical unit. An examination that included diagnostic vascular studies, bilateral lower extremities, and venous doppler ultrasounds revealed a diagnosis of “chronic venous insufficiency.”

The condition occurs when leg veins become damaged and struggle to send blood back up to the heart, causing blood to pool in your legs and swelling. The fairly common condition usually affects people over the age of 50, but the risk grows as one ages, according to the Cleveland Clinic.

There was no evidence of deep vein thrombosis or arterial disease and a blood count test and echocardiogram both yielded normal results, Leavitt added.

The press secretary then addressed the much-speculated bruise on the back of Trump’s hand, telling reporters it was a result of “frequent handshaking.”

Despite images of Trump’s hand very clearly showing what appears to be an incision or scar, possibly from receiving an IV, the letter from Trump’s medical team shared by the White House noted, “President Trump remains in excellent health.”

“This 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. This is a well-known and benign side effect of aspirin therapy, and the President remains in excellent health,” she said.

Zoomed-in shots of Trump’s hand appeared to be flaking with a layer of makeup – a shade that did not match his skin, plastered over the top – took off online earlier this week.

On part of his hand, buried beneath the concealer, there appeared to be an incision or scar of some kind.

It wasn’t the first time the mark on Trump’s hand was a cause of concern. In February, it appeared yellow and bruised, and also covered in makeup, during a meeting with French President Emmanuel Macron.

Leavitt provided a similar response to The Independent on Wednesday over concerns about the bruise, saying, “President Trump is a man of the people and he meets more Americans and shakes their hands on a daily basis than any other President in history.

“His commitment is unwavering, and he proves that every single day.”

The Independent has always had a global perspective. Built on a firm foundation of superb international reporting and analysis, The Independent now enjoys a reach that was inconceivable when it was launched as an upstart player in the British news industry. For the first time since the end of the Second World War, and across the world, pluralism, reason, a progressive and humanitarian agenda, and internationalism – Independent values – are under threat. Yet we, The Independent, continue to grow.

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