Ulceration of the lower extremities is not uncommon in areas of chronic stasis dermatitis or other evidence of a compromised vascular system.
Ulcers can begin with the smallest break in the skin and can expand rapidly in the face of the compromised vasculature.
Secondary infection can increase the damage and slow healing.
- Correction, as much as possible, of the underlying compromised vasculature is important.
- Leg elevation will improve venous drainage.
- Hydrocolloid gels are useful adjuvants.
- Irritating solutions, such as peroxide, should be avoided in the absence of a significant bacterial infections and then used only for the few days necessary to control the bacterial overgrowth.