Off-Center Fold
August 1998

Chronic Ulcerations in the Upper and Lower Extremities

Author Affiliations



Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

Arch Dermatol. 1998;134(8):1019-1024. doi:

A 44-year-old Hispanic man presented with a 25-year history of chronic nonhealing ulcers in the upper and lower extremities and in both hands. The patient's ulcerations continued to worsen over time, despite the use of antibiotics and good local wound care. He then developed lower-extremity gangrene and generalized leg pain with walking, which eventually necessitated several surgical approaches, including amputation below the knee on the right leg and above the knee on the left leg and a sympathectomy on the right leg.

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