A Case Report of the Stasis Ulcer of the Leg

概要

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Ulcers occur frequently over the inner side of the ankle and lower third of the leg which are conventionally called "ulcer areas". Most are the stasis ulcers which are caused by chronic venous insufficiency. Recently we had an opportunity to treat a case of the statis ulcer. This stasis ulcer is due to the post-thrombotic syndrome. Symptoms of this syndrome consist of local edema, pain, pigmentation, varicose veins, stasis dermatitis, stasis cellulitis, as well as chronic ulceration. Simple wound management or skin grafting are not adequet to prevent recurrence of this condition. Conservative treatment, elevation of the extremity and elastic compression from toes to knee, should be attempted initially. If conservative regimen fails, stripping of superficial varicose veins and ligation of the dilated communicating veins are recommended. Malnutrition of the skin due to poor venous return may be the cause of the chronic leg ulcers.