Ulcus cruris, neurogenic L98.4

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 30.09.2022

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neuropathic foot ulceration; neuropathic ulcer

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Ulcus cruris in paralysis, e.g. in paraplegia, after poliomyelitis, as pressure ulcer (see also under neuropathic ulcer).

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Treatment of the ulcer according to its stage, see under wound treatment. Pressure relief via padding and pressure-free positioning, frequent repositioning of the patient, orthopaedic footwear (forefoot relief shoe). Pressure-relieving measures are to be maintained as prophylaxis.

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  1. Boulton AJ et al (2004) Off-Loading in Trials of Neuropathic Diabetic Foot Ulceration: Further evidence of the need for a paradigm shift. Diabetes Care 27: 636-637
  2. Mumford JW et al (1988) Occlusive hydrocolloid dressings applied to chronic neuropathic ulcers. A study of efficacy in patients at a rural Indian Hospital. Int J Dermatol 27: 190-192
  3. Williams DT et al (2003) New treatments for diabetic neuropathic foot ulceration: views from a wound healing unit. Curr Diab Rep 3: 468-474


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Last updated on: 30.09.2022