Figure 3.

A clinical documentation of the effect of an excessively stiff foam dressing on the periwound skin. The image shows the wound of a 67-year-old man with a history of obesity and chronic leg ulcers due to venous lymphedema. This patient developed a pretibial ulcer with moderate amount of drainage. A rectangular foam dressing with sharp corners (white arrow marking) was applied under a two-layer compression therapy system for at least five consecutive days. The deep indentation on the periwound skin, which was also associated with pain, is clearly visible. Of note, the dressing may not have been appropriately chosen by the clinician caring for this wound. The documentation of this case is courtesy of author K.W.