5 - Leg ulceration - Diabetic, Vasculitic and other leg ulcers

Question 1

diabetic - commonly where? 2 types are??

Answer 1

weight bearing points - heels , large toe tips etc

neuropathy
vasculopathy

Question 2

diabetic - neuropathy - result of? loss of ? leads to?

Answer 2

microangiopathy leading to nerve ischaemia

loss of normal pain response - repeated unnoticed trauma

Question 3

diabetic - neuropathy - end game?

Answer 3

muscle atrophy leading to deformity and increased prominence of pressure points

Question 4

diabetic vasculopathy - describe

Answer 4

peripheral vascular disease leads to ulcer promoting environment and poor healing

Question 5

vasculitic leg ulcers - general aetiology ? appearance?

Answer 5

general inflammatory

palpable purpura, nodules/plaques which may ulcerate

Question 6

vasculitic ulcers - triggers

Answer 6

infection - esp strep A (throat)
drugs - OCP, penicillin, NSAIDS, thiazides, oral anticoags
systemic - SLE, RA, vasculitis
Malignancy

Question 7

other ulcerative lesions

Answer 7

SCC, BCC, pyoderma gangrenosum