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Leg Ulcers and Lymphedema

  • Luciana Patrícia Fernandes Abbade
  • Hélio Amante Miot
Chapter

Abstract

Leg ulcers are of major concern in public health because of their high prevalence (especially among older people), chronicity, economic burden, and impact on quality of life. Besides the need for primary prevention in susceptible groups, adequate etiologic diagnosis and a multispecialty approach can lead to successful treatment. Similarly, chronic lymphedema is a limiting disorder that predisposes to recurrent soft skin infection, leg ulcers, and malignancy. In this chapter we discuss clinical patterns, diagnostic procedures, and management of the main types of leg ulcers and lymphedema.

Keywords

Leg ulcer Varicose ulcer Venous insufficiency Lymphedema Martorell’s ulcer Hypertensive ischemic ulcer Lower extremity ulcer 

Notes

Glossary

Lipodermosclerosis 

Considered a type of panniculitis (inflammation of subcutaneous fat). Literally means “scarring of the skin and fat” and is a slow process that occurs over a number of years. It is a condition that affects the skin just above the ankle in patients with long-standing venous disease resulting in chronic venous insufficiency. The end result of untreated lipodermosclerosis is ulcer formation with high incidence of delayed healing and infection.

Lymphedema 

An abnormal collection of high-protein fluid just beneath the skin. It usually develops when lymph vessels are damaged or lymph nodes are removed (secondary lymphedema) but can also be present when lymphatic vessels are missing or impaired due to a hereditary condition (primary lymphedema).

Vasculitis 

Inflammation of the blood vessels. It causes changes in the walls of blood vessels, including thickening, weakening, narrowing, and scarring. These changes restrict blood flow, resulting in organ and tissue damage.

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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  • Luciana Patrícia Fernandes Abbade
    • 1
  • Hélio Amante Miot
    • 1
  1. 1.Department of Dermatology, UNESPBotucatuBrazil

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