Types of Ulcers of Lower Extremity

  • Patrick Harnarayan
  • Michael J. Ramdass
  • Ravi Maharaj
  • Vijay Naraynsingh


One of the most debilitating, painful, recurrent, malodorous, and costly conditions seen in the practice of surgery is the leg ulcers. These have always been a challenge for clinicians in terms of diagnosis and understanding of its pathophysiology. For instance, although the association between ulceration of the leg and varicose veins was observed more than 2000 years ago by Hippocrates [1], he thought that these ulcers were the site of release of the “evil humors” that plagued the body causing untold maladies. Thus, healing of the ulcers was frowned upon, and these ulcers were frequently reopened as described by Chadwick et al. [2]. Table 1 shows the various types of ulcers of the lower extremity. We herein look at the types of ulcers which are commonly seen in our surgical practice including the following: venous, arterial, mixed arterial, and venous; diabetic; neuropathic; hematological; lymphatic; Marjolin’s; malignant (primary and secondary); vasculitic; infective (necrotizing fasciitis, osteomyelitis, tuberculosis, and syphilitic); trauma; decubitus; calciphylaxis; hypertensive; and Bazin’s.


Necrotizing Fasciitis Pyoderma Gangrenosum Venous Disease Venous Ulcer Chronic Venous Insufficiency 
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

  • Patrick Harnarayan
    • 1
  • Michael J. Ramdass
    • 1
  • Ravi Maharaj
    • 1
  • Vijay Naraynsingh
    • 1
  1. 1.Department of Clinical Surgical SciencesUniversity of the West IndiesSt. AugustineJamaica

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