Uncommon leg ulcers in the lower extremity

Labropoulos, Nicos; Manalo, Danielle; Patel, Neil; Tiongson, Jay; Pryor, Landon; Giannoukas, Athanasios D.

doi:10.1016/j.jvs.2006.11.012

Cited by 42 publications

(33 citation statements)

References 70 publications

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“…Differential diagnosis of possible causes for leg ulcers is shown in Table IV. [99][100][101] Serial VLU wound measurement and documentation are important to determine baseline markers and effect of subsequent treatment measures on healing parameters. Documentation should include number and position of ulcers on the leg.…”

Section: Clinical Evaluationmentioning

confidence: 99%

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

O’Donnell¹,

Passman²,

Marston³

et al. 2014

Journal of Vascular Surgery

589

450

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Section: Clinical Evaluationmentioning

confidence: 99%

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

O’Donnell¹,

Passman²,

Marston³

et al. 2014

Journal of Vascular Surgery

589

450

View full text Add to dashboard Cite

“…5) Nicos analyzed 710 patients with leg ulcers, and they found 2.1% of patients were due to uncommon etiology unrelated to venous or arterial pathology. 6) Their etiology is variable; Mostly vasculitis, neoplasia and metabolic disorders, but only 0.4% of patients shows infection. Mycobacterium infection should be the rarest infection for a leg ulcer.…”

Section: Discussionmentioning

confidence: 99%

Rare Complication after Stripping Operation: A Case Report of Mycobacterium Abscessus Infection

Morimoto

Manago

Iioka

et al. 2010

Annals of Vascular Diseases

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Mycobacterium abscessus is an acid-fast nontuberculous mycobacterium that grows rapidly in culture. The organism is found in dust, soil, and water and after trauma, it may infect skin and soft tissue. The organism is rarely found in humans, and infections occurring after cardiovascular surgery are rare clinical events. To our knowledge, only a few cases of hemodialysis arteriovenous graft infection and endocarditis caused by M. abscessus have been described. We reported a first case of patient with M. abscessus graft infection after a stripping operation and skin grafting to a left lower leg ulcer.

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“…The factors considered to influencing blood quantity were absence of pedal pulses and ankle brachial index of less than 0.9 or ankle peak systolic velocity of <75 cm/s [7][8][9] . Associated comorbidities taken into consideration included both systemic and regional conditions likely to impair wound healing or impede interventional measures, as follows: systemic diseases, such as heart failure (congestive or ischemic); chronic renal failure; and autoimmune collagen likely to cause vasculitis such as rheumatoid arthritis, systemic lupus, scleroderma, and non-specific arteritis [10][11][12][13][14] . The regional diseases that were considered in this category were conditions involving the limbs such as chronic lymphedema and chronic venous insufficiency.…”

Section: Introductionmentioning

confidence: 99%

Amputation-free limb survival in diabetic foot lesions: A Review

Sharkawy

2018

Evid Based Med Public Health

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In this review, we examine the current status of amputation-free survival among patients with diabetic foot lesions in terms of the prevalence of diabetic foot lesions and amputations among diabetics. Next, we examine the etiological factors that are responsible for the development of diabetic foot lesions and subsequent amputation. We have previously conducted a retrospective investigation from 2004 to 2007. From our analysis of the data collected over this period from patients with diabetic foot lesions, we were able to identify some of the main etiological categories related to the amputation risk. Based on these etiological categories, we were able to develop a color-coded etiological key that can be easily applied in clinical practice for the assessment of the amputation risk and thereby guide the referral and management of the disease in the future. Between 2007 and 2012, we conducted a prospective study to test the applicability of the etiological key. The amputation-free survival rates achieved with this key were found to be comparable to those reported with the use of the currently applied approach of using a multidisciplinary team. We found that changes in blood quality, mainly, anemia and hypoalbuminemia, and peripheral artery disease were the etiological factors that were associated with the least chances of requiring amputation. On the other hand, tissue loss and pervious surgical procedures were found to be indicators of the highest risk for amputation. We also examine the etiological factors conventionally considered to increase the risk of amputation and examine the current practices followed in the management of cases of diabetic foot. We also examine the traditional and advanced treatment options available for the various etiological factors with a view to reducing amputations. We believe that our etiological key has the potential for widespread applicability in developing countries where resources for a multidisciplinary approach may be scarce.

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Uncommon leg ulcers in the lower extremity

Cited by 42 publications

References 70 publications

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum

Rare Complication after Stripping Operation: A Case Report of Mycobacterium Abscessus Infection

Amputation-free limb survival in diabetic foot lesions: A Review

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