Rare aetiologies of leg ulcers: a prospective analysis.

IF 2 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2026-10-02 Epub Date: 2026-10-07 DOI:10.12968/jowc.2023.0269

Dorota Piechota, Marcela Millberg, Wioletta Barańska-Rybak

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引用次数: 0

Abstract

Objective: As treatment guidelines differ based on the causal effects of hard-to-heal (chronic) leg ulcers, correct diagnosis is essential for the best therapeutic outcomes. The aim of the study was to ascertain the prevalence of patients displaying atypical and uncommon manifestations of hard-to-heal leg ulcers and to explore the corresponding diagnostic challenges.

Method: This was a prospective analysis of the aetiologies of hard-to-heal leg ulcers in patients hospitalised at the University Clinic of Dermatology, Venereology and Allergology, Poland, between 2015-2022. Data were coded into a database. Patients had an initial diagnosis of L97 according to the International Classification of Disease (ICD)-10-a non-pressure hard-to-heal ulcer of the lower limb, not elsewhere classified. Ulcer duration was >6 weeks, as this is the most used definition of a hard-to-heal wound.

Results: Of the 327 patients who took part in the study, 119 had a diagnosis other than vascular. Patients were aged between 18-97 (mean 67.5) years; 163 were male and 164 were female. In patients with ulcers of rare aetiology, the most common was pyoderma gangrenosum, followed by vasculitis, then neoplasms or complication after antineoplastic treatment.

Conclusion: It is important to be acquainted with rare aetiologies of leg ulcers for best therapeutic outcome, as atypical ulcers may require different treatment modalities.

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.