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Varicose veins, Spider Veins? Dr Jozef Tryzno, is one of the very few physicians in Illinois Certified by American Board of Phlebology and Registered Vascular Technologist
  What is a venous skin ulcer?
 

leg ulcerations

  

Venous Ulceration - This is the final physical sign of cutaneous malnutrition.
Can occur with or without visible varicose veins!

Venous ulcers look like shallow holes and can vary in size, color and depth.
Develop on either side of the lower leg, above the ankle and below the calf, when slow circulation in damaged veins causes fluid to seep out of the overfilled veins into surrounding tissues.

  leg ulcerations
 

Symptoms:

  • Swelling of legs, ankles, or other areas
  • Skin appears thin, tissue-like
  • Skin lesion: macule or patch
  • Skin spots, red
  • Darkening of skin at the ankles or legs
  • Thickening of skin at the ankles or legs
  • Open sores, ulcers
  • Superficial skin irritation of the legs
  • Itching
  • Leg pain, cramps
  • Oozing, faulty smell
Treatment of venous ulceration requires patient’s motivation due to  often prolonged course of the condition - 50% of venous ulcers will heal within 6 months and most heal within the year
  leg ulcerations
leg ulcerations
leg ulcer
leg ulcerations
  ARTERIAL LEG ULCERS
 

Arterial leg ulcers are caused by arterial insufficiency, which leads to ulceration of the skin.
They are frequently painful, particularly when elevated and at night. The patient gets out of bed and walks about in order to obtain relief. Other symptoms include: coldness, numbness and burning.

Stages:
I - The skin is dry, scaly, thin and cool. The color is pale, cyanosed or blotchy.
II - The hair on the lower leg and toes is sparse or absent.
III - Toenails are thickened and require less cutting.
VI - Ulcers are well defined, punched out, deep. They occur primarily on the shin, heell, dorsum of the foot or toes, which are quite different sites from those of a venous ulcer.
V - There are absent or diminished pulses. The final stage of severe ischemia is gangrene. The toes are usually affected first.
                   
                   
 
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Jozef Tryzno MD, RVT, FASA, FASLMS Jozef Tryzno MD, RVT, FASA, FASLMS
                   

International Vein & Skin Institute SC, 760 Busse Highway, Park Ridge IL 60068, Tel. 847-518-9999

Jozef Tryzno, MD, RVT, FASA, FASLMS
Lyuba Shapiro, MSN, APN, NP-C
Aleksandra Bielawiec, MS, APN, NP-C
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