ABSTRACT
Background: Chronic leg ulcer (CLU) is reported to have an impact on virtually all aspects of life. Treatment is expensive and has large economic burden on many countries' health services. This presentation is to determine the impact; etiology; and presentation of CLU as well as the procedures for processing in a Nigeria tertiary care facility. Methods: All patients with CLU seen that were prospectively managed in our hospital between 2004 and 2006 have been included in the study. The data were analyzed by SPSS version 11.0 of software. Results: Sixty consecutive patients seen over a period of 3 years (2004-2006) were prospectively studied. There were two peak period of age presentation 30-39 and 50-69 years. The male female ratio was 1:1. Most of the patients (93.3) had unilateral ulcers and it was as common on the right as on the left. Fifty percent of patients had medical disorders. The commonest cause of CLU was poorly managed traumatic wound. Conclusion: Most patients benefited from debridement with or without split thickness skin graft or flap
Subject(s)
Case Reports , Lakes , Leg Ulcer/epidemiology , Leg Ulcer/etiology , Leg Ulcer/therapy , NigeriaABSTRACT
L'ulcere phagedenique du membre inferieur parait etre une affection assez frequente au Mali. Ces 5 dernieres annees; sa frequence annuelle moyenne est estimee a 2;09 pour cent des consultants du Service de Dermatologie de l'Institut Marchoux. En milieu tropical il pose des problemes diagnostiques et therapeutiques particuliers. A propos de 50 cas; les auteurs decrivent les aspects cliniques; tentent d'identifier les etiologies et d'instituer des traitements symptomatiques et/ou specifiques. Parmi les etiologies rencontrees l'infection microbienne (abces et impetigo negliges) occupe le premier rang (26 cas/50); les plaies traumatiques negligees occupent le rang (12 cas/50); puis viennent la drepanocytose (6/50); l'insuffisance veineuse (5/50). Les soins locaux (detersion et antisepsie) ont une place preponderante dans le traitement. La complication evolutive la plus redoutable demeure la transformation epitheliomateuse (ulcere phagedenique cancerise = U.P.K.) observee 5 fois/50