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Review
. 2006 Feb 11;332(7537):347-50.
doi: 10.1136/bmj.332.7537.347.

Venous and arterial leg ulcers

Joseph E Grey  1 , Keith G Harding, Stuart Enoch
Affiliations
Review

Venous and arterial leg ulcers

Joseph E Grey et al. BMJ. .
No abstract available

PubMed Disclaimer

Figures

Figure 1
Figure 1
From left to right: Haemosiderin associated with a venous leg ulcer; lipodermatosclerosis; venous leg ulcer in area of atrophie blanche; wenous leg ulcer with severe “champagne bottle” deformity of the leg
Figure 1
Figure 1
From left to right: Haemosiderin associated with a venous leg ulcer; lipodermatosclerosis; venous leg ulcer in area of atrophie blanche; wenous leg ulcer with severe “champagne bottle” deformity of the leg
Figure 1
Figure 1
From left to right: Haemosiderin associated with a venous leg ulcer; lipodermatosclerosis; venous leg ulcer in area of atrophie blanche; wenous leg ulcer with severe “champagne bottle” deformity of the leg
Figure 1
Figure 1
From left to right: Haemosiderin associated with a venous leg ulcer; lipodermatosclerosis; venous leg ulcer in area of atrophie blanche; wenous leg ulcer with severe “champagne bottle” deformity of the leg
Figure 2
Figure 2
Typical venous leg ulcer over the medial malleolus (left) and venous leg ulcer over malleolus with a fibrinous base (right)
Figure 2
Figure 2
Typical venous leg ulcer over the medial malleolus (left) and venous leg ulcer over malleolus with a fibrinous base (right)
Figure 3
Figure 3
Unhealthy venous leg ulcer before debridement (left) and sharp debridement of venous leg ulcer (right)
Figure 3
Figure 3
Unhealthy venous leg ulcer before debridement (left) and sharp debridement of venous leg ulcer (right)
Figure 4
Figure 4
Compression stocking
Figure 5
Figure 5
Guidelines for management of different categories of venous eczema. Arrows indicate direction of possible change in condition of eczema
Figure 6
Figure 6
Top left: Dry gangrene of great toe in a patient with peripheral vascular disease with line of demarcation covered with slough. Top right: Wet gangrene of forefoot and toes in a patient with arterial disease, with soft tissue swelling due to infection. Left: Arterial ulcer over lower leg, with associated skin changes typical of arterial disease
Figure 6
Figure 6
Top left: Dry gangrene of great toe in a patient with peripheral vascular disease with line of demarcation covered with slough. Top right: Wet gangrene of forefoot and toes in a patient with arterial disease, with soft tissue swelling due to infection. Left: Arterial ulcer over lower leg, with associated skin changes typical of arterial disease
Figure 6
Figure 6
Top left: Dry gangrene of great toe in a patient with peripheral vascular disease with line of demarcation covered with slough. Top right: Wet gangrene of forefoot and toes in a patient with arterial disease, with soft tissue swelling due to infection. Left: Arterial ulcer over lower leg, with associated skin changes typical of arterial disease
Figure 7
Figure 7
Ulcer over medial malleolus of mixed arterial and venous aetiology, with lipodermatosclerosis and breakdown of scar over saphenous vein harvesting site (for cardiac bypass grafting)
See this image and copyright information in PMC

References

    1. Simon DA, Dix FP, McCollum CN. Management of venous leg ulcers. BMJ 2004;328: 1358-62. - PMC - PubMed
    1. Barwell JR, Davies CE, Deacon J, Harvey K, Minor J, Sassano A, et al. Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): randomised controlled trial. Lancet 2004;363: 1854-9. - PubMed
    1. Cullum N, Nelson EA, Fletcher AW, Sheldon TA. Compression for venous leg ulcers. Cochrane Database Syst Rev 2001;(2): CD000265. - PubMed
    1. Williams DT, Enoch S, Miller DR, Harris K, Price PE, Harding KG. The effect of sharp debridement using curette on recalcitrant non-healing venous leg ulcers: a concurrently controlled prospective cohort study. Wound Rep Regen 2005;13: 131-7. - PubMed
    1. Morris PJ, Malt RA. Oxford textbook of surgery. 2nd ed. Oxford: Oxford University Press, 2001.