A Descriptive Study of Management of Benign Ulcers of Foot and Leg
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Introduction: Chronic leg ulcers have a deleterious effect on patient quality of life, and are often difficult to manage. Accurate diagnosis is essential if patients with chronic leg ulceration are to receive optimal treatment. Multiple disciplinary approach is usually required for complete healing of chronic ulcers. Materials and methods: A descriptive study of twelve months duration was conducted on 100 consecutively admitted cases of chronic leg and foot ulcers in age group of 7-80 years of both genders. A through detailed history and clinical examination was undertaken. Local Symptoms, trophic skin changes and venous insufficiency if any was recorded. Both general and specific treatments were provided. Results: Maximum cases were in the age group of 33-52 years, M: F ratio 1.9:1 and rural: urban ratio 2.57:1. Majority of patients were illiterate (76%), and were drawn from lower class of the society (56%). Majority of patients (54%) were smokers, tobacco chewers or alcoholics. Site of ulcer was foot 52% followed by leg 18%, ulcer origin was traumatic in 72% of cases and ischaemic ulcers were minimum 2%. Symptom wise wound, pain and discharge 32% followed by wound and discharge 26% were noted. 66% of ulcers were secondarily infected and maximum number of cases 68% stayed in hospital for about 2 weeks. In 68% cases healing was complete in about 3 months. Conclusion: Chronic leg ulcers present a therapeutic challenge. Often a multi-factorial aetiology may be present, which requires a comprehensive assessment for correct diagnosis. Management should include patient education about the importance of regular care of the lower limb, and early medical treatment when necessary.
Authors and Affiliations
Dr. Deependu Kumar Sinha, Dr. Sujata Sahay
Keywords
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- EP ID EP395402
- DOI 10.9790/0853-1709075558.
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