DermatologyTier 1Topic overview

Skin ulcers

Framing

  • Chronic skin ulceration has four principal aetiologies - venous (the most common), arterial, neuropathic (diabetic), and pyoderma gangrenosum (an inflammatory, non-infective cause) - each with a distinct mechanism, typical location, and management approach, making accurate aetiological diagnosis essential before starting treatment
  • Compression therapy (correct for venous ulcers) is contraindicated in significant arterial disease, illustrating why misattributing ulcer aetiology can directly cause harm rather than simply delaying healing

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