The Differential Diagnosis of Leg Ulcers.
Background: Chronic wounds on the leg (below the knee) are called leg ulcers. They have many causes, and thus patients with leg ulcers are treated by many different kinds of medical specialist. Appproximately 80% of sufferers have chronic venous insufficiency (CVI) and/or peripheral arterial occlusi...
| Publicado en: | Deutsches Ärzteblatt International Vol. 121; no. 22; pp. 1 - 2 |
|---|---|
| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Deutscher Aerzte-Verlag GmbH
11/1/2024
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182552224&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182552224 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18660452 5F0N jtl: Deutsches Ärzteblatt International issn: 18660452 maglogo: N pubinfo: dt: 11/1/2024 vid: 121 iid: 22 pid: 25312 pub: Deutscher Aerzte-Verlag GmbH artinfo: ui: 182552224 10.3238/arztebl.m2024.0133 182552224 ppf: 1 ppct: 1 formats: tig: atl: The Differential Diagnosis of Leg Ulcers. aug: au: Dissemond, J. Placke, J. M. Moelleken, M. Kröger, K. affil: Universitätsklinikum Essen, Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie Hufelandstraße 55, 45122 Essen, Germany sug: ab: Background: Chronic wounds on the leg (below the knee) are called leg ulcers. They have many causes, and thus patients with leg ulcers are treated by many different kinds of medical specialist. Appproximately 80% of sufferers have chronic venous insufficiency (CVI) and/or peripheral arterial occlusive disease (PAOD). Knowledge of the relevant differential diagnoses is important for appropriate treatment, particularly for patients with atypical findings or an intractable course. Methods: This article is based on publications retrieved by a selective search in PubMed, including current guidelines and expert recommendations. Results: The diagnostic evaluation of a leg ulcer can be structured according to the ABCDE rule. This involves individualized, targeted history-taking (anamnesis); bacteriological testing; clinical examination; ancillary testing, particularly for perfusion (defective vascular system); and extras, such as biopsies. Specifically, we present in this article the main aspects of the complex diagnostic evaluation of venous leg ulcers, arterial leg ulcers, vasculitis, vasculopathy, calciphylaxis, pyoderma gangrenosum, necrobiosis lipoidica, ecthyma, and squamous cell carcinoma. There remain many unsolved problems, including interactions between the various areas of clinical treatment and the relative paucity of relevant high-quality research. Conclusion: A timely differential-diagnostic evaluation for the many diseases that can cause leg ulcers, which require treatment from representatives of many different medical specialties and health professions, is a prerequisite for their effective individualized treatment. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|