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WOUNDS IN VASCULAR AND METABOLIC DISEASES
NADA KECELJ LESKOVEC
; University Department of Dermatovenereology, Ljubljana University Hospital Center, Ljubljana, Slovenia
DUBRAVKO HULJEV
; Sveti Duh University Hospital, University Department of Surgery, Center for Plastic and Reconstructive Surgery, Zagreb, Croatia
MARIJETKA MATOH
; University Department of Dermatovenereology, Ljubljana University Hospital Center, Ljubljana, Slovenia
Abstract
There are many causes of leg ulcer development; however, vascular etiology is most commonly involved. Venous or lymphatic causes underlay 80% and arterial or arteriovenous causes 20%-25% of cases. Over years, the prevalence of arteriovenous ulcers has increased due to the increased prevalence of peripheral arterial disease. Concerning metabolic reasons, diabetes is the most common underlying disease leading to ulcer formation, whereas calciphylaxis is a very rare one. In addition to the general principles of local ulcer therapy, additional therapy treating the cause of ulcer is necessary. Therapy of leg ulcers is manly interdisciplinary and should include a dermatologist, surgeon, internal medicine specialist, radiologist, general practitioner.
Keywords
ulcer; vascular diseases; metabolic diseases; diagnosis, therapy
Hrčak ID:
98709
URI
Publication date:
25.2.2013.
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