Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1988 Jun 18;296(6638):1726–1727. doi: 10.1136/bmj.296.6638.1726

Causes of venous ulceration: a new hypothesis

P D Coleridge Smith, P Thomas, J H Scurr, J A Dormandy
PMCID: PMC2546102  PMID: 3135894

Abstract

Previous hypotheses about the causes of venous ulceration are inconsistent with recently published data. In patients with chronic venous insufficiency the number of functioning capillary loops visible in the skin on microscopy fell after the legs had been dependent for 30 minutes. Another study had shown that leucocytes became trapped in the circulation in dependent legs. A new hypothesis linking these two findings proposes that the trapped while cells occlude the capillaries and result in ischaemia of the skin of the leg.

Full text

PDF
1726

Selected References

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

  1. Braide M., Amundson B., Chien S., Bagge U. Quantitative studies on the influence of leukocytes on the vascular resistance in a skeletal muscle preparation. Microvasc Res. 1984 May;27(3):331–352. doi: 10.1016/0026-2862(84)90064-5. [DOI] [PubMed] [Google Scholar]
  2. Browse N. L., Burnand K. G. The cause of venous ulceration. Lancet. 1982 Jul 31;2(8292):243–245. doi: 10.1016/s0140-6736(82)90325-7. [DOI] [PubMed] [Google Scholar]
  3. 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]
  4. Cornwall J. V., Doré C. J., Lewis J. D. Leg ulcers: epidemiology and aetiology. Br J Surg. 1986 Sep;73(9):693–696. doi: 10.1002/bjs.1800730905. [DOI] [PubMed] [Google Scholar]
  5. Hassan A. A., Rayman G., Tooke J. E. Effect of indirect heating on the postural control of skin blood flow in the human foot. Clin Sci (Lond) 1986 Jun;70(6):577–582. doi: 10.1042/cs0700577. [DOI] [PubMed] [Google Scholar]
  6. Hopkins N. F., Spinks T. J., Rhodes C. G., Ranicar A. S., Jamieson C. W. Positron emission tomography in venous ulceration and liposclerosis: study of regional tissue function. Br Med J (Clin Res Ed) 1983 Jan 29;286(6362):333–336. doi: 10.1136/bmj.286.6362.333. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Janoff A., Schaefer S., Scherer J., Bean M. A. Mediators of inflammation in leukocyte lysosomes. II. Mechanism of action of lysosomal cationic protein upon vascular permeability in the rat. J Exp Med. 1965 Nov 1;122(5):841–851. doi: 10.1084/jem.122.5.841. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. WARREN R., WHITE E. A., BELCHER C. D. Venous pressures in the saphenous system in normal, varicose, and postphlebitic extremities; alterations following femoral vein ligation. Surgery. 1949 Sep;26(3):435–445. [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES