An ulcer is a discontinuity of an epithelial surface. Leg ulcers are common and the site of an ulcer on the leg may provide a clue to its aetiology.

Causes

Infective

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    Syphilis

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    TB • (common where TB is endemic)

Neoplastic

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    Squamous cell carcinoma

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    Malignant melanoma

  • ●

    Basal cell carcinoma

Vascular

  • ●

    Venous ulcers ( Fig. 42 )

    Figure 42, Venous ulcer .

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    Arterial (ischaemic) ulcers

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    Arteriovenous fistulae

Neuropathic

  • ●

    Diabetes

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    Leprosy

  • ●

    Tabes dorsalis (syphilis)

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