Leg ulcer: Difference between revisions
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|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | ||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Allergic vasculitis]], [[anemia]], [[aneurysm]], [[angiosarcoma]], arterial [[dysplasia]], [[arterial insufficiency]], [[arterial thrombosis]], [[arterio-venous malformation]], arteriovenous [[fistulas]], [[arteriovenous malformation]], [[atheroma]], [[atherosclerosis]], [[cholesterol embolism]], chronic [[venous insufficiency]], [[Churg-Strauss syndrome]], [[congestive heart failure]], [[deep vein thrombosis]], [[dehydration]], [[diabetes mellitus]], [[embolism]], [[heart failure]], [[hypertension]], [[hypotension]], [[hypothermia]], [[kaposi's sarcoma]], [[leukocytoclastic vasculitis]], [[livedoid vasculopathy]], [[lymphangitis]], [[lymphatic obstruction]], lymphatic vessel [[dysplasia]], [[lymphedema]], [[peripheral artery disease]], [[polyarteritis nodosa]], [[polyarteritis]], [[post thrombotic syndrome]], [[raynaud's syndrome]], [[sepsis ]], [[septic emboli]], [[thromboangiitis obliterans]], [[thrombotic thrombocytopenic purpura]], [[varicose veins]], [[vasculitis]], venous [[dysplasia]], [[Wegener's granulomatosis]] | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Allergic vasculitis]], [[anemia]], [[aneurysm]], [[angiosarcoma]], arterial [[dysplasia]], [[arterial insufficiency]], [[arterial thrombosis]], [[arterio-venous malformation]], arteriovenous [[fistulas]], [[arteriovenous malformation]], [[atheroma]], [[atherosclerosis]], [[cholesterol embolism]], chronic [[venous insufficiency]], [[Churg-Strauss syndrome]], [[congestive heart failure]], [[deep vein thrombosis]], [[dehydration]], [[diabetes mellitus]], [[embolism]], [[heart failure]], [[hypertension]], [[hypotension]], [[hypothermia]], [[kaposi's sarcoma]], [[leukocytoclastic vasculitis]], [[livedoid vasculopathy]], [[lymphangitis]], [[lymphatic obstruction]], lymphatic vessel [[dysplasia]], [[lymphedema]], [[peripheral artery disease]], [[polyarteritis nodosa]], [[polyarteritis]], [[post thrombotic syndrome]], [[raynaud's syndrome]], [[sepsis ]], [[septic emboli]], [[thromboangiitis obliterans]], [[thrombotic thrombocytopenic purpura]], [[varicose veins]], [[vasculitis]], venous [[dysplasia]], [[venous valvular incompetence]], [[Wegener's granulomatosis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Chemical/Poisoning''' | | '''Chemical/Poisoning''' | ||
|bgcolor="Beige"| [[Arsenic]] | |bgcolor="Beige"| [[Arsenic]], [[noxious chemicals]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Dermatologic''' | | '''Dermatologic''' | ||
|bgcolor="Beige"| [[Actinic keratosis]], [[advanced age]], [[allergic vasculitis]], [[amoebiasis]] cutis, [[contact dermatitis]], [[continuous trauma]], [[Crohn's disease]], [[decubitus ulcer]], [[ecthyma]], [[erysipelas]], [[Bazin disease | erythema induratum of bazin]], [[filariasis]], [[furuncle]], [[glanders]], [[herpes simplex]], [[incontinence]], [[keratoacanthoma]], [[lymphoma]] ulcers, [[Eumycetoma | madura foot]], [[melanoma]], [[acquired perforating dermatosis]], [[porphyria cutanea tarda]], [[prolonged immobilization]], radiation [[dermatitis]], [[sporotrichosis]], [[squamous cell carcinoma]], [[ulcerative colitis]], [[xeroderma pigmentosum]] | |bgcolor="Beige"| [[Actinic keratosis]], [[advanced age]], [[allergic vasculitis]], [[amoebiasis]] cutis, [[contact dermatitis]], [[continuous trauma]], [[Crohn's disease]], [[decubitus ulcer]], [[Impetigo | ecthyma]], [[erysipelas]], [[Bazin disease | erythema induratum of bazin]], [[filariasis]], [[furuncle]], [[glanders]], [[herpes simplex]], [[incontinence]], [[keratoacanthoma]], [[lymphoma]] ulcers, [[Eumycetoma | madura foot]], [[melanoma]], [[acquired perforating dermatosis]], [[porphyria cutanea tarda]], [[prolonged immobilization]], radiation [[dermatitis]], [[sporotrichosis]], [[squamous cell carcinoma]], [[ulcerative colitis]], [[xeroderma pigmentosum]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| [[Coumarin]], [[ergotamine]], [[Chemotherapy | | |bgcolor="Beige"| [[Coumarin]], [[ergotamine]], extravasated [[Chemotherapy | cytostatic agents]], [[halogens]], [[hydroxyurea]], [[leflunomide]], [[methotrexate]], [[penicillin]], [[plasmin]], [[plasminogen activator inhibitor-1]], [[tissue plasminogen activator]] | ||
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| '''Genetic''' | | '''Genetic''' | ||
|bgcolor="Beige"| Arterial [[dysplasia]], [[factor V Leiden mutation]], [[gaucher's disease]], [[hereditary spherocytosis]], [[klinefelter syndrome]], [[leukocyte adhesion deficiency]], lymphatic vessel [[dysplasia]], [[prolidase deficiency]], [[thalassaemia]], venous [[dysplasia]], [[xeroderma pigmentosum]] | |bgcolor="Beige"| Arterial [[dysplasia]], [[factor V Leiden mutation]], [[gaucher's disease]], [[hereditary spherocytosis]], [[klinefelter syndrome]], [[leukocyte adhesion deficiency]], lymphatic vessel [[dysplasia]], [[prolidase deficiency]], [[tap1 mutation]], [[thalassaemia]], venous [[dysplasia]], [[xeroderma pigmentosum]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"| [[Actinomycosis]], [[amoebiasis]] cutis, [[amoebiasis]], [[anthrax]], [[bacillary angiomatosis]], [[bacterial infection]], [[bacteroides]], [[blastomycosis]], [[borrelia vincenti]], [[cellulitis]], [[coccidiomycosis]], [[cold agglutinin disease]], [[diphtheria]], [[ecthyma gangrenosum ]], [[ecthyma]], [[erysipelas]], [[fasciitis necroticans ]], [[filariasis]], [[folliculitis]], [[francisella tularensis]], [[furuncle]], [[gas gangrene ]], [[glanders]], [[granuloma inguinale]], [[haemophilus ducreyi]], [[herpes simplex]], [[histoplasmosis]], [[kala-azar]], [[leishmaniasis]], [[leprosy]], [[lues maligna]], [[lymphangitis]], [[Eumycetoma | madura foot]], [[mycobacterium ulcerans]], [[mycosis fungoides]], [[osteomyelitis]], [[papillomatosis cutis carcinoides]], [[poliomyelitis]], [[rodent ulcer]], [[sepsis ]], [[septic emboli]], [[sporotrichosis]], [[syphilis]], [[tinea pedis]], [[tropical ulcer]], [[tuberculosis]], [[tularemia]], [[ulcerative pyoderma]], [[variola virus]], [[vasculitis]], [[yaws]] | |bgcolor="Beige"| [[Actinomycosis]], [[amoebiasis]] cutis, [[amoebiasis]], [[anthrax]], [[bacillary angiomatosis]], [[bacterial infection]], [[bacteroides]], [[blastomycosis]], [[borrelia vincenti]], [[cellulitis]], [[coccidiomycosis]], [[cold agglutinin disease]], [[diphtheria]], [[ecthyma gangrenosum ]], [[Impetigo | ecthyma]], [[erysipelas]], [[fasciitis necroticans ]], [[filariasis]], [[folliculitis]], [[francisella tularensis]], [[furuncle]], [[gas gangrene ]], [[glanders]], [[granuloma inguinale]], [[haemophilus ducreyi]], [[herpes simplex]], [[histoplasmosis]], [[kala-azar]], [[leishmaniasis]], [[leprosy]], [[lues maligna]], [[lymphangitis]], [[Eumycetoma | madura foot]], [[mycobacterium ulcerans]], [[mycosis fungoides]], [[osteomyelitis]], [[papillomatosis cutis carcinoides]], [[poliomyelitis]], [[rodent ulcer]], [[sepsis ]], [[septic emboli]], [[sporotrichosis]], [[syphilis]], [[tinea pedis]], [[tropical ulcer]], [[tuberculosis]], [[tularemia]], [[ulcerative pyoderma]], [[variola virus]], [[vasculitis]], [[yaws]] | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Rheumatology/Immunology/Allergy''' | | '''Rheumatology/Immunology/Allergy''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Rheumatoid arthritis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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{{col-begin|width=85%}} | {{col-begin|width=85%}} | ||
{{col-break|width=33%}} | {{col-break|width=33%}} | ||
*[[Acquired perforating dermatosis]] | |||
*[[Actinic keratosis]] | *[[Actinic keratosis]] | ||
*[[Actinomycosis]] | *[[Actinomycosis]] | ||
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*[[Arterial thrombosis]] | *[[Arterial thrombosis]] | ||
*[[Arterio-venous malformation]] | *[[Arterio-venous malformation]] | ||
*[[ | *Arteriovenous [[fistulas]] | ||
*[[Arteriovenous malformation]] | *[[Arteriovenous malformation]] | ||
*[[Atheroma]] | *[[Atheroma]] | ||
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*[[Bacterial infection]] | *[[Bacterial infection]] | ||
*[[Bacteroides]] | *[[Bacteroides]] | ||
*[[ | *Badly united [[fracture]] | ||
*[[Basal cell carcinoma]] | *[[Basal cell carcinoma]] | ||
*[[Behcet disease ]] | *[[Behcet disease ]] | ||
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*[[Cellulitis]] | *[[Cellulitis]] | ||
*[[Cholesterol embolism]] | *[[Cholesterol embolism]] | ||
*[[ | *Chronic [[venous insufficiency]] | ||
*[[Chronically injured or diseased skin]] | *[[Chronically injured or diseased skin]] | ||
*[[Churg- | *[[Churg-Strauss syndrome]] | ||
*[[Coccidiomycosis]] | *[[Coccidiomycosis]] | ||
*[[Cold agglutinin disease]] | *[[Cold agglutinin disease]] | ||
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*[[Crohn's disease]] | *[[Crohn's disease]] | ||
*[[Cryoglobulinemia]] | *[[Cryoglobulinemia]] | ||
*[[ | *Cutaneous [[lymphoma]] | ||
*[[Decubitus ulcer]] | *[[Decubitus ulcer]] | ||
*[[Deep vein thrombosis ]] | *[[Deep vein thrombosis ]] | ||
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*[[Diabetic neuropathy]] | *[[Diabetic neuropathy]] | ||
*[[Diphtheria]] | *[[Diphtheria]] | ||
*[[ | *[[dysproteinemia]] | ||
*[[Ecthyma gangrenosum]] | *[[Ecthyma gangrenosum]] | ||
*[[Ecthyma]] | *[[Impetigo | Ecthyma]] | ||
*[[Embolism]] | *[[Embolism]] | ||
*[[Ergotamine]] | *[[Ergotamine]] | ||
*[[Erysipelas]] | *[[Erysipelas]] | ||
*[[Erythema induratum of bazin]] | *[[Bazin disease | Erythema induratum of bazin]] | ||
{{col-break|width=33%}} | |||
*[[Essential thrombocythemia]] | *[[Essential thrombocythemia]] | ||
*Extravasated [[Chemotherapy | cytostatic agents]] | |||
*[[ | |||
*[[Factitious ulceration]] | *[[Factitious ulceration]] | ||
*[[Factor V Leiden mutation]] | *[[Factor V Leiden mutation]] | ||
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*[[Fasciitis necroticans ]] | *[[Fasciitis necroticans ]] | ||
*[[Felty's syndrome]] | *[[Felty's syndrome]] | ||
*[[Filariasis]] | *[[Filariasis]] | ||
*[[Folliculitis]] | *[[Folliculitis]] | ||
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*[[Heat]] | *[[Heat]] | ||
*[[Hemiplegia]] | *[[Hemiplegia]] | ||
*[[ | *[[Haemophilus ducreyi]] | ||
*[[Hereditary spherocytosis]] | *[[Hereditary spherocytosis]] | ||
*[[Herpes simplex]] | *[[Herpes simplex]] | ||
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*[[Hypothermia]] | *[[Hypothermia]] | ||
*[[Incontinence]] | *[[Incontinence]] | ||
*[[ | *Infantile [[cerebral palsy]] | ||
*[[Ionizing radiation]] | *[[Ionizing radiation]] | ||
*[[Kala-azar]] | *[[Kala-azar]] | ||
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*[[Livedoid vasculopathy]] | *[[Livedoid vasculopathy]] | ||
*[[Low weight]] | *[[Low weight]] | ||
*[[ | *Lower limb [[fractures]] | ||
*[[Lower limb nerve injury]] | *[[Lower limb nerve injury]] | ||
*[[Lues maligna]] | *[[Lues maligna]] | ||
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*[[Lymphangitis]] | *[[Lymphangitis]] | ||
*[[Lymphatic obstruction]] | *[[Lymphatic obstruction]] | ||
*[[ | *Lymphatic vessel [[dysplasia]] | ||
*[[Lymphedema]] | *[[Lymphedema]] | ||
*[[Lymphoma | *[[Lymphoma]] ulcers | ||
*[[Macroglobulinemia]] | *[[Macroglobulinemia]] | ||
*[[Madura foot]] | *[[Eumycetoma | Madura foot]] | ||
*[[Malnutrition]] | *[[Malnutrition]] | ||
*[[Marjolin's ulcer]] | *[[Marjolin's ulcer]] | ||
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*[[Mycobacterium ulcerans]] | *[[Mycobacterium ulcerans]] | ||
*[[Mycosis fungoides]] | *[[Mycosis fungoides]] | ||
*[[Myelodysplasia]] | |||
{{col-break|width=33%}} | {{col-break|width=33%}} | ||
*[[Necrobiosis lipoidica]] | *[[Necrobiosis lipoidica]] | ||
*[[Neuropathy]] | *[[Neuropathy]] | ||
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*[[Pemphigus vulgaris]] | *[[Pemphigus vulgaris]] | ||
*[[Penicillin]] | *[[Penicillin]] | ||
*[[Peripheral artery disease]] | *[[Peripheral artery disease]] | ||
*[[Phlebitis]] | *[[Phlebitis]] | ||
*[[Plasmin]] | |||
*[[Plasminogen activator inhibitor-1]] | |||
*[[Poliomyelitis]] | *[[Poliomyelitis]] | ||
*[[Polyarteritis nodosa]] | *[[Polyarteritis nodosa]] | ||
*[[Polyarteritis]] | *[[Polyarteritis]] | ||
*[[ | *Polyclonal [[dysproteinemia]] | ||
*[[Polycythemia vera]] | *[[Polycythemia vera]] | ||
*[[Porphyria cutanea tarda]] | *[[Porphyria cutanea tarda]] | ||
*[[ | *[[Post thrombotic syndrome]] | ||
*[[Primary polycythemia]] | *[[Polycythemia vera | Primary polycythemia]] | ||
*[[ | *[[Primary thrombocythemia]] | ||
*[[Prolidase deficiency]] | *[[Prolidase deficiency]] | ||
*[[Prolonged Immobilization]] | *[[Prolonged Immobilization]] | ||
*[[Protein | *[[Protein C deficiency]] | ||
*[[Protein | *[[Protein S deficiency]] | ||
*[[ | *[[Purpura]] | ||
*[[Pyoderma gangrenosum]] | *[[Pyoderma gangrenosum]] | ||
*[[ | *Radiation [[dermatitis]] | ||
*[[Raynaud's syndrome]] | *[[Raynaud's syndrome]] | ||
*[[Rheumatoid | *[[Rheumatoid arthritis]] | ||
*[[Rodent ulcer]] | *[[Rodent ulcer]] | ||
*[[Sarcoidosis]] | *[[Sarcoidosis]] | ||
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*[[Thrombotic thrombocytopenic purpura]] | *[[Thrombotic thrombocytopenic purpura]] | ||
*[[Tinea pedis]] | *[[Tinea pedis]] | ||
*[[Tissue plasminogen activator]] | |||
*[[Tropical ulcer]] | *[[Tropical ulcer]] | ||
*[[Tuberculosis]] | *[[Tuberculosis]] | ||
*[[Tularemia]] | *[[Tularemia]] | ||
*[[ | *[[Ulcerative pyoderma]] | ||
*[[Ulcerative colitis]] | *[[Ulcerative colitis]] | ||
*[[Vaccinations]] | *[[Vaccinations]] | ||
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*[[Variola virus]] | *[[Variola virus]] | ||
*[[Vasculitis]] | *[[Vasculitis]] | ||
*[[ | *Venous [[dysplasia]] | ||
*[[Venous valvular incompetence]] | *[[Venous valvular incompetence]] | ||
*[[Wegener's granulomatosis]] | *[[Wegener's granulomatosis]] | ||
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* [[Basal cell carcinoma]] | * [[Basal cell carcinoma]] | ||
* [[Blastomycosis]] | * [[Blastomycosis]] | ||
* Bullous Disease | * [[Blister | Bullous Disease]] | ||
* [[Buerger's disease]] | * [[Buerger's disease]] | ||
* [[Burn]]s | * [[Burn]]s | ||
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* [[Coccidiomycosis]] | * [[Coccidiomycosis]] | ||
* [[Cold agglutinin disease]] | * [[Cold agglutinin disease]] | ||
* Cold injury | * [[Cold injury]] | ||
* [[Congestive Heart Failure]] | * [[Congestive Heart Failure]] | ||
* [[Contact dermatitis]] | * [[Contact dermatitis]] | ||
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* [[Diabetic neuropathy]] | * [[Diabetic neuropathy]] | ||
* [[Drugs]] | * [[Drugs]] | ||
* Ecthyma | * [[Ecthyma]] | ||
* [[Embolism]] | * [[Embolism]] | ||
* [[Furuncle]] | * [[Furuncle]] | ||
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* [[Mycosis fungoides]] | * [[Mycosis fungoides]] | ||
* [[Osteomyelitis]] | * [[Osteomyelitis]] | ||
* Other allergic conditions | * [[Other allergic conditions]] | ||
* [[Peripheral vascular disease]] | * [[Peripheral vascular disease]] | ||
* [[Polyarteritis]] | * [[Polyarteritis]] | ||
* [[Polycythemia Vera]] | * [[Polycythemia Vera]] | ||
* | * [[Protozoan infection]] | ||
* [[Protein C deficiency]] | * [[Protein C deficiency]] | ||
* [[Protein S deficiency]] | * [[Protein S deficiency]] |
Revision as of 20:02, 18 July 2013
Leg ulcer | |
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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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[1][2]
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
Causes by Organ System
Causes in Alphabetical Order
Differential diagnosis of leg ulcer[3][4]
- 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
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