Leg Ulcer Diagnosis and Management

Topical treatment of chronic venous ulcers with sucralfate: A placebo controlled randomized study

“…Apart from surgical therapy, different medical treatments to effect ulcer wound repair and regeneration are currently being investigated (3,4). Systemic or topical drugs acting in the wound repair and regeneration processes, have been proven to be promising and useful agents for the treatment of chronic venous ulcers (5).…”

Úlcera hipertensiva de Martorell: relato de caso

“…And anaerobial germs and some gram-negative, therefore being well indicated in infectious of the extremities that are associated to vascular alterations, which is why no bacteriological examinations were carried out. 2 One hundred and forty-seven cases of the world literature were reviewed (Table 1), [3][4][5][6][7][8][9][10][11][12][13][14] 112 (76,2%) of the happening in women, 25 (17%) in men, and 10 (6,8%) of non-specified cases. Average age was 63 years, with extremes of 43 and 86.…”

“…1,2 It is a condition of hard handling, for it involves several differential diagnoses, and many times response to treatment is slow.…”

Venous leg ulcers

“…The two most common causes of lower extremity ulceration after venous disease are arterial insufficiency and neuropathic ulcers. 14 Arterial insufficiency ulcers are typically round, with sharply demarcated borders and a fibrous yellow base or necrotic eschar. They are found usually on the anterior or lateral aspect of the leg or ankle.…”

“…Findings such as hair loss, shiny atrophic skin, cool feet, and weak or absent distal pulses support the diagnosis of arterial insufficiency as the cause of lower extremity ulceration. 3,14 These patients commonly will have abnormally low ankle/brachial indices (ABI Ͻ 0.5) and complain of claudication and/or rest pain. It is important to distinguish between peripheral vascular disease and venous disease because therapy for venous ulcers may worsen arterial insufficiency and possibly cause limb ischemia.…”