Understanding the differential diagnosis of leg ulcers: focus on atypical ulcers.

The suboptimal management of leg ulcers has been identified as a UK-wide problem that involves a high financial and personal cost (Guest et al, 2015). One common omission identified in the care of patients with a leg ulcer is a failure to establish the underlying aetiology of the wound. Ideally, an...

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Publicado en:Journal of Community Nursing Vol. 33; no. 1; pp. 29 - 37
Autor principal: Todhunter, Jane
Formato: pictorial review tables/charts Journal Article
Publicado: Wound Care People Limited Feb/Mar2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb/Mar2019
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      pub: Wound Care People Limited
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        atl: Understanding the differential diagnosis of leg ulcers: focus on atypical ulcers.
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        au: Todhunter, Jane
        affil: Vascular nurse practitioner, North Cumbria Acute Hospital Trust
      sug:
        subj:
          Leg Ulcer Diagnosis
          Diagnosis, Differential Psychosocial Factors
          Leg Ulcer Symptoms
          Patient Assessment
          Prevalence
          Wound Assessment
          Leg Ulcer Classification
          Venous Ulcer Diagnosis
          Leg Ulcer Therapy
          Pyoderma Gangrenosum
          Vasculitis
          Calcinosis
          Leg Ulcer Chemically Induced
          Carcinoma, Basal Cell
          Wound Care
          Carcinoma, Squamous Cell
      ab: The suboptimal management of leg ulcers has been identified as a UK-wide problem that involves a high financial and personal cost (Guest et al, 2015). One common omission identified in the care of patients with a leg ulcer is a failure to establish the underlying aetiology of the wound. Ideally, an accurate leg ulcer diagnosis should initiate the appropriate therapy, which should, in turn, facilitate healing; however, an inaccurate diagnosis at the outset means that the patient may not be started on an appropriate management pathway. Although vascular disorders are the major cause of leg ulcers, there are other aetiologies that should be considered when the leg ulcer has failed to respond to evidence-based therapy (Rayner et al, 2009). This article outlines some of the atypical leg ulcer types the author has encountered, as well as detailing the signs that were identified within the assessment process and which allowed the author to formulate an accurate diagnosis.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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