Leg ulcer: Difference between revisions
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{{Infobox_Disease | | {{Infobox_Disease | | ||
Name = {{PAGENAME}} | | Name = {{PAGENAME}} | | ||
Image = Leg ulcer 001.jpg| | Image = Leg ulcer 001.jpg| | ||
Caption = Disseminated Intravascular Coagulation: Gross view of thighs and legs at autopsy ecchymoses with central necrosis and ulceration looks like [[pyoderma gangrenosum]]. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>| | Caption = Disseminated Intravascular Coagulation: Gross view of thighs and legs at autopsy ecchymoses with central necrosis and ulceration looks like [[pyoderma gangrenosum]]. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>|}} | ||
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{{SI}} | {{SI}} | ||
{{CMG}}; {{VR}} | {{CMG}}; {{VR}} | ||
==Overview== | ==Overview== | ||
'''Leg ulcer'''s usually refer to ulcers of the lower leg. The most common cause of leg ulcers is [[venous insufficiency]]. | '''Leg ulcer'''s usually refer to ulcers of the lower leg. The most common cause of leg ulcers is [[venous insufficiency]]. | ||
==Causes | ==Causes== | ||
===Common Causes=== | ===Common Causes=== | ||
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*[[Squamous cell carcinoma]] | *[[Squamous cell carcinoma]] | ||
*[[Thromboangiitis obliterans]] | *[[Thromboangiitis obliterans]] | ||
*[[Vasculitis]] | *[[Vasculitis]]<ref>{{Cite web | last = | first = | title = Differential diagnosis of leg ulcers - Dissemond - 2006 - JDDG: Journal der Deutschen Dermatologischen Gesellschaft - Wiley Online Library | url = http://onlinelibrary.wiley.com/doi/10.1111/j.1610-0387.2006.06052.x/abstract | publisher = | date = | accessdate = 12 July 2013 }}</ref><ref>{{Cite web | last = | first = | title = http://www.health.wa.gov.au/woundswest/docs/WPR_Nov09_Atypical_Leg_Ulcers.pdf | url = http://www.health.wa.gov.au/woundswest/docs/WPR_Nov09_Atypical_Leg_Ulcers.pdf | publisher = | date = | accessdate = 12 July 2013 }}</ref> | ||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
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*[[Angiosarcoma]] | *[[Angiosarcoma]] | ||
*[[Anthrax]] | *[[Anthrax]] | ||
*[[ | *[[Antiphospholipid syndrome]] | ||
*[[ | *[[Antithrombin III deficiency]] | ||
*[[Arsenic]] | *[[Arsenic]] | ||
*[[Artefacts]] | *[[Artefacts]] | ||
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*[[Diabetic neuropathy]] | *[[Diabetic neuropathy]] | ||
*[[Diphtheria]] | *[[Diphtheria]] | ||
*[[ | *[[Dysproteinemia]] | ||
*[[Ecthyma gangrenosum]] | *[[Ecthyma gangrenosum]] | ||
*[[Impetigo | Ecthyma]] | *[[Impetigo | Ecthyma]] | ||
| Line 238: | Line 230: | ||
*[[Glanders]] | *[[Glanders]] | ||
*[[Gout]] | *[[Gout]] | ||
*[[ | *[[Granulocytopenia]] | ||
*[[Granuloma inguinale]] | *[[Granuloma inguinale]] | ||
*[[Halogens]] | *[[Halogens]] | ||
| Line 273: | Line 265: | ||
*[[Lower limb nerve injury]] | *[[Lower limb nerve injury]] | ||
*[[Lues maligna]] | *[[Lues maligna]] | ||
*[[ | *[[Lupus anticoagulant]] | ||
*[[Lupus erythematosus]] | *[[Lupus erythematosus]] | ||
*[[Lymphangitis]] | *[[Lymphangitis]] | ||
| Line 365: | Line 357: | ||
{{col-end}} | {{col-end}} | ||
== Differential diagnosis of leg ulcer | == Differential diagnosis of leg ulcer== | ||
* [[Anemia]] | * [[Anemia]] | ||
* [[Arteriosclerosis]] | * [[Arteriosclerosis]] | ||
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* [[Trauma]] | * [[Trauma]] | ||
* [[Tuberculosis]] | * [[Tuberculosis]] | ||
* [[Venous insufficiency]] | * [[Venous insufficiency]]<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref><ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | ||
== References == | == References == | ||
Revision as of 20:12, 18 July 2013
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| Disseminated Intravascular Coagulation: Gross view of thighs and legs at autopsy ecchymoses with central necrosis and ulceration looks like pyoderma gangrenosum. Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology |
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Patient resources on Leg ulcer Discussion groups on Leg ulcer Directions to Hospitals Treating Leg ulcer Risk calculators and risk factors for Leg ulcer
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Vendhan Ramanujam M.B.B.S [2]
Overview
Leg ulcers usually refer to ulcers of the lower leg. The most common cause of leg ulcers is venous insufficiency.
Causes
Common Causes
- Basal Cell Carcinoma
- Chronic venous insufficiency
- Decubitus ulcer
- Deep vein thrombosis
- Diabetes mellitus
- Hypertension
- Peripheral artery disease
- Rheumatoid ulcers
- Squamous cell carcinoma
- Thromboangiitis obliterans
- Vasculitis[1][2]
Causes by Organ System
Causes in Alphabetical Order
Differential diagnosis of leg ulcer
- Anemia
- Arteriosclerosis
- Arteriovenous malformation
- Basal cell carcinoma
- Blastomycosis
- Bullous Disease
- Buerger's disease
- Burns
- Cellulitis
- Coccidiomycosis
- Cold agglutinin disease
- Cold injury
- Congestive Heart Failure
- Contact dermatitis
- Decubitus ulcer
- Deep vein thrombosis (DVT)
- Diabetes Mellitus
- Diabetic neuropathy
- Drugs
- Ecthyma
- Embolism
- Furuncle
- Gaucher's Disease
- Gout
- Histoplasmosis
- Insect bites
- Kaposi's Sarcoma
- Leprosy
- Leukemia
- Lymphangitis
- Lymphedema
- Macroglobulinemia
- Malnutrition
- Melanoma
- Metastases
- Mycosis fungoides
- Osteomyelitis
- Other allergic conditions
- Peripheral vascular disease
- Polyarteritis
- Polycythemia Vera
- Protozoan infection
- Protein C deficiency
- Protein S deficiency
- Radiation dermatitis
- Raynaud's Syndrome
- Rheumatoid Arthritis
- Scleroderma
- Septic emboli
- Sickle Cell Anemia
- Sporotrichosis
- Squamous cell carcinoma
- Syringomyelia
- Systemic Lupus Erythematosus
- Tabes Dorsalis
- Thalassemia
- Trauma
- Tuberculosis
- Venous insufficiency[3][4]
References
- ↑ "Differential diagnosis of leg ulcers - Dissemond - 2006 - JDDG: Journal der Deutschen Dermatologischen Gesellschaft - Wiley Online Library". Retrieved 12 July 2013.
- ↑ "http://www.health.wa.gov.au/woundswest/docs/WPR_Nov09_Atypical_Leg_Ulcers.pdf" (PDF). Retrieved 12 July 2013. External link in
|title=(help) - ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X