Abstract

Venous ulcers are common in drug addicts and, although the management of these wounds is the same as in other patients, there are differences in the approach and the outcome of treatment. Those injecting drugs are at risk of serious infections, such as necrotizing fasciitis, wound botulism, and cutaneous anthrax due to the nature of the substances being injected. Herein, we present two cases of venous ulcers in drug addicts in their thirties. Both patients had been suffering from a venous ulcer for several years and the final result differed in the two patients. We concluded that it is necessary to raise awareness of the importance of treatment and lifestyle changes. The multidisciplinary approach in these patients may contribute to the improvement of wound healing.

Highlights

  • Venous ulcers are common in drug addicts and, the management of these wounds is the same as in other patients, there are differences in the approach and the outcome of treatment

  • The reason for the appearance of venous ulcers in these individuals is the injection of narcotics in the femoral vein, which leads to deep vein thrombosis

  • We believe that the improved clinical picture and the closure of the chronic venous ulcer were due to the changed lifestyle, the intermission of heroin injections in the femoral vein, and the constant care of the wound in the hospital

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Summary

INTRODUCTION

Venous ulcers are common in drug addicts and, the management of these wounds is the same as in other patients, there are differences in the approach and the outcome of treatment. We believe that the improved clinical picture and the closure of the chronic venous ulcer were due to the changed lifestyle, the intermission of heroin injections in the femoral vein, and the constant care of the wound in the hospital. A 35-year-old patient addicted to heroin since the age of seventeen visited the dermatological clinic for numerous venous ulcers in the lower extremities. She had a long history of venous ulcers that had only become worse and asked for help several times but was never hospitalized.

DISCUSSION
CONCLUSION
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