Explore the latest in venous leg ulcers, including advances in prevention and management.
A woman in her 60s with long-standing thickening and induration of the legs presented with 1 week of left leg pain. Physical examination results revealed multiple firm skin-colored papules and nodules coalescing to form a large plaque on the anterior aspect of the left lower leg, whereas the right lower leg had diffuse induration and hyperpigmentation. What is your diagnosis?
This economic evaluation examines the cost-effectiveness of early endovenous ablation of superficial venous reflux in patients with venous leg ulcers from the US Medicare perspective.
This Patient Page describes the symptoms, possible causes, and treatment of stasis dermatitis.
This randomized clinical trial uses data from the Early Venous Reflux Ablation trial to evaluate the long-term clinical and cost benefits of combined early endovenous ablation and compression compared with compression therapy alone and deferred ablation for treating superficial venous reflux of the leg.
This systematic review and meta-analysis of 5 clinical trials examines the association of different exercise interventions with venous leg ulceration healing when used as an adjuvant to any form of compression.
This Clinical Update summarizes options for chronic wound management in ambulatory settings, including use of standard gauze, negative-pressure wound therapy, advanced dressings (alginates, foams, hydrocolloids, and hydrogels), and adjuvant wound therapies.
This Teachable Moment describes the case of a 65-year-old man who presented with symptoms of infection but was found to have a misdiagnosed case of stasis dermatitis.
A 69-year-old woman presented for the evaluation of a progressive, asymptomatic cutaneous eruption on her hands and forearms, as well as an enlarging, painful ulcer on her left leg that developed 6 months earlier; her medical history was notable for essential thrombocytosis. What is your diagnosis?
A young black woman with Graves disease had painful lesions on both legs; chills; lower extremity swelling; and small, painful, ulcers on her bilateral lower legs; her medications included methimazole and atenolol for Graves disease. What is your diagnosis?
This case report describes rapid progression of leg ulcers associated with sirolimus treatment in a renal transplant recipient.
This narrative review summarizes published evidence about the epidemiology, diagnosis, and treatment of cellulitis.
This pilot study examines the effectiveness of compression therapy in treating pain, neuropathy, and reduced ankle range of motion in patients with venous leg ulcers.
This case of a painless leg ulcer in an immunosuppressed patient with diverticulitis, a neutropenic fever, and sepsis due to multidrug-resistant Pseudomonas aeruginosa infection showed a cutaneous ulcer with a raised erythematous border and a base with purulent debris. What is your diagnosis?
This systematic review found that few studies have investigated the effect of physical therapy–oriented exercise on quality of life and healing in patients with venous leg ulcers.
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