Original Articles
Evaluation of cases of chronic leg ulcers | |
Dr. Rahul Arora, Dr. Indu Ballani | |
Background: Lower leg ulcers that last longer than six weeks are referred to as chronic leg ulcers. For both the patient and the healthcare professional, it is a serious public health issue. The present study was conducted to assess cases of chronic leg ulcers. Materials & Methods: 105 patients with chronic leg ulcer of both genders were recruited. The lower extremities' arterial and venous systems were studied using color doppler imaging and the ankle brachial index (ABI). Results: Age group 21-40 years had 12 males and 7 females, 41-60 years had 16 males and 20 females and >60 years had 32 males and 28 females. Etiology of CLU was arterial in 24%, venous in 36%, mixed arterial & venous in 20%, due to leprosy in 14% and diabetic ulcer was 6%. Clinical findings were pigmentation in 37%, varicosity in 42%, oedema in 27%, muscle wasting in 62% and trophic change in 14%. Microorganisms were Staphylococcus aureus in 56%, Pseudomonas aeruginosa in 40%, E. coli in 2% and Acinetobacter baumannii in 2% cases. Conclusion: The most frequent causes of persistent leg ulcers were venous, arterial, and mixed. Pigmentation, muscle wasting and varicosity were common clinical findings. |
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