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. 1987 Apr 11;294(6577):929–931. doi: 10.1136/bmj.294.6577.929

Arterial disease in chronic leg ulceration: an underestimated hazard? Lothian and Forth Valley leg ulcer study.

M J Callam, D R Harper, J J Dale, C V Ruckley
PMCID: PMC1245996  PMID: 3107659

Abstract

Six hundred patients with chronic leg ulcers were interviewed and examined for evidence of arterial impairment. There were 827 ulcerated legs. Pedal pulses could not be felt in 94 (11%). A Doppler resting pressure index of 0.9 or less was found in 176 legs (21%). Risk factors for arterial impairment included age, ulceration affecting the foot, and a history of claudication, ischaemic heart disease, or cerebrovascular disease. Roughly half the patients with arterial impairment also showed the clinical features of chronic venous insufficiency. Careful assessment for arterial disease is mandatory before patients with chronic leg ulcers are treated with elastic compression.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ANNING S. T. The aetiology of gravitational ulcers of the leg. Br Med J. 1949 Aug 27;2(4625):458–464. doi: 10.1136/bmj.2.4625.458. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BOYD A. M., JEPSON R. P., RATCLIFFE A. H., ROSE S. S. The logical management of chronic ulcers of the leg. Angiology. 1952 Jun;3(3):207–215. doi: 10.1177/000331975200300301. [DOI] [PubMed] [Google Scholar]
  3. Bernstein E. F., Fronek A. Current status of noninvasive tests in the diagnosis of peripheral arterial disease. Surg Clin North Am. 1982 Jun;62(3):473–487. doi: 10.1016/s0039-6109(16)42739-8. [DOI] [PubMed] [Google Scholar]
  4. Bobek K., Cajzl L., Cepelak V., Slaisova V., Opatzny K., Barcal R. Etude de la fréquence des maladies phlébologiques et de l'influence de quelques facteurs étiologiques. Phlebologie. 1966 Jul-Sep;19(3):217–230. [PubMed] [Google Scholar]
  5. Callam M. J., Ruckley C. V., Harper D. R., Dale J. J. Chronic ulceration of the leg: extent of the problem and provision of care. Br Med J (Clin Res Ed) 1985 Jun 22;290(6485):1855–1856. doi: 10.1136/bmj.290.6485.1855. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Dahn I., Lassen N. A., Westling H. Blood flow in human muscles during external pressure or venous stasis. Clin Sci. 1967 Jun;32(3):467–473. [PubMed] [Google Scholar]
  7. Dale J. J., Callam M. J., Ruckley C. V., Harper D. R., Berrey P. N. Chronic ulcers of the leg: a study of prevalence in a Scottish community. Health Bull (Edinb) 1983 Nov;41(6):310–314. [PubMed] [Google Scholar]
  8. Nielsen H. V. External pressure--blood flow relations during limb compression in man. Acta Physiol Scand. 1983 Nov;119(3):253–260. doi: 10.1111/j.1748-1716.1983.tb07335.x. [DOI] [PubMed] [Google Scholar]
  9. Pabst T. S., 3rd, Castronuovo J. J., Jr, Jackson S. D., Schuler J. J., Flanigan D. P. Evaluation of the ischemic limb by pressure and flow measurements of the skin microcirculation as determined by laser Doppler velocimetry. Curr Surg. 1985 Jan-Feb;42(1):29–31. [PubMed] [Google Scholar]
  10. Thomas S., Dawes C., Hay P. A critical evaluation of some extensible bandages in current use. Nurs Times. 1980 Jun 26;76(26):1123–1126. [PubMed] [Google Scholar]
  11. Yao S. T. Haemodynamic studies in peripheral arterial disease. Br J Surg. 1970 Oct;57(10):761–766. doi: 10.1002/bjs.1800571016. [DOI] [PubMed] [Google Scholar]

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