Atrophy blanche ulcerI83.0
Synonym(s)
Ulcer in atrophie blanche
DefinitionThis section has been translated automatically.
Heavily painful leg ulcer at the base of an atrophie blanche.
EtiopathogenesisThis section has been translated automatically.
Often caused by chronic venous insufficiency stage II/III. Pathophysiological processes that are not yet further understood lead to chronic vasculopathy with consecutive vascular occlusion. The clinical characteristic of this process is an extraordinarily intense painfulness.
Clinical featuresThis section has been translated automatically.
S.u. Atrophie blanche.
General therapyThis section has been translated automatically.
Treatment of the cause, compression therapy, possibly sclerotherapy in case of underlying varicosis are the most important prerequisites for healing of the ulcer.
External therapyThis section has been translated automatically.
Stage-specific ulcer therapy according to venous leg ulcer. In non-pyodermised inflammatory marginal areas, glucocorticoids can be applied periulcerously in the short term, if possible on the basis of indifferent bases (e.g. 0.1% betamethasone ointment).
Notice! The use of glucocorticoids must be limited in time!
Internal therapyThis section has been translated automatically.
Analgesia and antiphlogistics with acetylsalicylic acid high dosage (e.g. ASS) 3 times 500-1000 mg/day p.o. Cave! stomach protection! see below Atrophy blanche.
Operative therapieThis section has been translated automatically.
In individual cases the excision of small flocks may be considered. Cave! Poor wound healing!