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Atypical Leg Ulceration

  • Ajay K. Khanna
  • Divya Khanna
Chapter

Abstract

Skin ulceration of the lower extremity poses a difficult clinical problem. Chronic ulceration of the lower legs is a relatively common condition among adults, one that causes pain and social distress and results in considerable healthcare and personal costs. Since numerous factors lead to lower leg ulceration, it is essential that health professionals adopt an interdisciplinary approach to the systematic assessment of the individual in order to ascertain the pathogenesis, a definitive diagnosis, and optimal treatment required. A correct diagnosis is essential to avoid inappropriate treatment that may delay wound healing, cause deterioration of the wound, or harm the patient [1]. Though a majority of the ulcers are venous, arterial, or diabetic ulceration, there are many unusual causes of the ulcers of the lower extremity. It has been reported that ulcers related to venous insufficiency constitute 70 %, arterial disease 10 %, and ulcers of mixed etiology 15 % of leg ulcer presentations. The remaining 5 % of leg ulcers result from less common pathophysiological causes, and this latter group comprise considerable challenges in diagnosis, assessment, and management.

Keywords

Sickle Cell Anemia Thrombotic Thrombocytopenic Purpura Necrotizing Fasciitis Essential Thrombocythemia Pyoderma Gangrenosum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Department of General SurgeryInstitute of Medical Sciences, Banaras Hindu UniversityVaranasiIndia
  2. 2.Department of Community MedicineMaulana Azad Medical CollegeNew DelhiIndia

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