[Diagnosis and general treatment of leg ulcers]

Abstract

A comprehensive history and the physical examination are the mainstays of the diagnosis of leg ulcers. Some diagnostic procedures will allow to establish a proper diagnosis in most cases. The precipitating cause of ulcer has to be taken in charge if possible. Most leg ulcers are secondary to chronic venous insufficiency: the principal treatment modalities are compression and increasing venous return by adapted exercises. The evidence for the efficacy of medications is still limited.