Abstract

The Treatment of Chronic Ulcers of the Leg

Highlights

  • Presenting many differences as regards their aetiology and pathology, chronic ulcers of the lower limb may fairly be grouped for all practical purposes under one heading, inasmuch as they resemble one another in one most important point?their stubborn resistance to any improvement under the influence of either local or general remedial agents

  • Occurring for the most part in individuals who are approaching, or who are well past, the middle period of life, and whose vitality has been already lowered through disease, deficient food, and unhealthy surroundings, they form the largest, probably, and, at the same time, the most unsatisfactory class of cases with which we have to deal in the out-patient departments of our hospitals

  • Without entering into detailed descriptions of the various forms and conditions met with, it will suffice for the purpose of this article to state that their usual situations are on the outer and front aspects of the leg, between the ankle and the calf, and that they are characterised in the main by abrupt and irregular edges, with the bases dry and flat or covered by feeble granulations, yielding but a scanty serous or purulent discharge, whilst the surrounding skin is congested and indurated, an indication of long-continued passive hypersemia

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Summary

Introduction

Presenting many differences as regards their aetiology and pathology, chronic ulcers of the lower limb may fairly be grouped for all practical purposes under one heading, inasmuch as they resemble one another in one most important point?their stubborn resistance to any improvement under the influence of either local or general remedial agents. Occurring for the most part in individuals who are approaching, or who are well past, the middle period of life, and whose vitality has been already lowered through disease, deficient food, and unhealthy surroundings, they form the largest, probably, and, at the same time, the most unsatisfactory class of cases with which we have to deal in the out-patient departments of our hospitals.

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