European Journal of Cardiovascular Medicine

Background: Accurate diagnosis is essential if patients with chronic leg ulceration are to receive optimal treatment. Multiple disciplinary approach is usually required for complete healing of chronic ulcers. Methods: A prospective study of 18 months duration was conducted on 50 consecutively admitted cases of chronic leg and foot ulcers in age group of 5-80 years of both genders. A through detailed history and clinical examination was undertaken. Local Symptoms, trophic skin changes and venous insufficiency if any was recorded. Both general and specific treatments were provided. Results: The majority of occurrences occurred in individuals aged 31-50 years, with a male to female ratio of 1.9 to 1 and a rural to urban ratio of 2.57 to 1. The majority of patients, including 76%, were illiterate. Additionally, 56% of the patients were from the lower socioeconomic level. A majority of patients (54%) had habits of smoking, tobacco consumption, or alcoholism. The most common location of the ulcer was the foot, accounting for 52% of instances, followed by the leg at 18%. The majority of ulcers (72%) were caused by trauma, whereas just a small percentage (2%) were due to ischemia. Regarding symptoms, 32% of the cases exhibited wound, pain, and discharge, while 26% showed wound and discharge. 66% of ulcers were found to have secondary infections, whereas the highest percentage of patients, 68%, required a hospital stay of approximately 2 weeks. Complete recovery occurred within around three months in 68% of instances. Conclusions: A correct diagnosis, multidisciplinary approach, optimal treatment and assessment of vascular status can facilitate healing of chronic leg ulcers in nondiabetic cases.