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November 24, 1956

Ulcers of the Legs

JAMA. 1956;162(13):1266. doi:10.1001/jama.1956.02970300066029

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This well-written book is divided into sections entitled General Conceptions of Leg Ulcers, Ulcers of Venous Etiology, Physiopathology of Ulcers Due to Venous Insufficiency, New Pathogenetic Concept of Varicosities, Evolution of the Venous Thrombosis and of Its Sequelae, Arterial Ulcers, and Trophoneurotic Ulcers. The author makes a pertinent and simple distinction between ulcerations (which heal in a short time) and true ulcers (which are chronic and resistant to therapy). True ulcers are divided into three etiological types: arterial, venous, and neurotrophic. The chapter dealing with the physiopathology of ulcers is one of the best in the book. Much space is devoted to the influence of postural changes. The author believes that normal persons when standing are on the verge of peripheral edema. The roles played by the systemic circulation, venous valves in orthostasis, and contraction of abdominal muscles and the influence of muscular activities on the venous valves of the

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