Leg ulcer Neuropathic ulcers

Leg ulcer Neuropathic ulcers - • Address underlying...

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Leg ulcer Neuropathic ulcers Population affected: Neuropathic ulcers are common in diabetic patients, the wearing of the skin goes unnoticed due to decreased sensation in the legs as a result of peripheral neuropathy. In diabetic patients there is commonly a mixed picture of neuropathy and vascular insult. Therefore ulcers of purely neuropathic causes are rare. Location: Neuropathic ulcers present as painless ulcers on pressure sites on the under surface of the foot. However, neuropathic ulcers may occur related anywhere on the foot after trauma in susceptible people. Appearance: Base : Colour of the base may we quite variable, depending on the patient's state of circulation. Most commonly they appear pink(or red) or brown(or black). Borders : The borders also have a punched out appearance. The surrounding skin often looks calloused. Treatment: Advise on adequate foot care
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Unformatted text preview: • Address underlying causes of neuropathy • Tight control diabetes • Bandage as necessary Other causes There are many other causes of Leg Ulcers (see table below). These represent approximately 5% of all presenting ulcers. A good history and appreciation of the appearance of the ulcer is of paramount importance when looking for the cause, however investigations are often necessary to confirm diagnosis Cause Examples Traumatic Stepping on a nail Vascular Venous Stasis Arterial (Ischaemic) Arteriovenous fistulae Neuropathic Diabetes Leprosy Tabes Dorsalis Neoplastic Squamous Cell Carcinoma Malignant Melanoma Basal Cell Carcinoma Autoimmune Rheumatoid Arthritis Systemic Lupus Erythematosus Infective Syphilis TB Haematological Sickle Cell Anaemia Polycythaemia rubra vera Other Dermatitis Artefacta Pyoderma Gangrenosum...
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Leg ulcer Neuropathic ulcers - • Address underlying...

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