A Clinico-Etiopathological Study Of Leg Ulcers At Tertiary Care Center
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Date
2024-01
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Association of Health Professionals and Health Educators
Abstract
Background:A leg ulcer is a disruption in the epithelial integrity of the skin, typically located between the knee and malleoli, characterized by partial or complete loss of the epidermis and dermis, occasionally extending into the subcutaneous adipose tissue. The incidence of leg ulceration is increasing, due to risk factors such as advancing age and increasing prevalence of risk factors like smoking, obesity, hypertension, and diabetes mellitus. Without timely intervention, these ulcers may recur and precipitate severe complications, imposing substantial economic burdens on patients. Material And Methods:In this observational study, 32 patients with leg ulcer attending the dermatology OPD at P.D.U. medical college, Rajkot,Gujarat were enrolled after obtaining their consent. Detailed history of eachpatient was recorded. Routine investigations and biopsy were done to detect associated risk factors and histopathological correlation. Result:Among the 32 patients,21 (65.62%) were male and 11 (34.38%) were female, predominantly in theage group of >50 years , trophic ulcers(31.25%)was predominant followed byby pyoderma gangrenosum (25%), venous ulcers (18.75%), vasculitic ulcers (15.62%), diabetic ulcers (6.25%), and malignancy-related ulcers (3.12%).History of sensoryneuropathy due to leprosy (33.33%), obesity (21.88%), hypertension (18.75%), diabetes (18.75%), and malignancy (3.12%) were the common risk factors in leg ulcer patients. Conclusion:Due to the complex nature of these ulcers, a thorough diagnostic approach and adherence to treatment plans are essential for successful management.
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Keywords
Leg Ulcers, Trophic Ulcer, Venous Ulcer, Pyoderma Gangrenosu
Citation
Kyada N, Modha J, Patel B, Bhuptani N.. A Clinico-Etiopathological Study Of Leg Ulcers At Tertiary Care Center . Tropical Gastroenterology. 2024 Jan; 15(1): 36-41