Ulcers on the feet are common. The majority of them are of vascular or neuropathic origin.

Causes

Vascular

Large vessel disease

  • ●

    Arteriosclerosis

  • ●

    Embolism

Small vessel disease

  • ●

    Diabetes

  • ●

    Raynaud’s disease

  • ●

    Embolism

  • ●

    Vasculitis, e.g. SLE, rheumatoid arthritis, scleroderma

  • ●

    Buerger’s disease

Neuropathic

Peripheral nerve lesions

  • ●

    Diabetes ( Fig. 24 )

    Figure 24, Chronic penetrating ulcers in a 60-year-old man with diabetes .

  • ●

    Peripheral nerve injuries

  • ●

    Leprosy • (in endemic areas)

  • ●

    Alcoholism

Spinal cord lesions

  • ●

    Spina bifida

  • ●

    Tabes dorsalis

  • ●

    Syringomyelia

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