Atypical ischemic lower extremity ulcerations: a differential diagnosis.
March 29th, 2008 | by admin |Atypical ischemic lower extremity ulcerations: a differential diagnosis.
AbstractSevere peripheral artery disease (PAD) is the predominant cause of ischemic ulcerations involving the lower extremities. PAD-associated ulcerations are typically distally located involving the feet, toes, and sometimes the calves. In contradistinction, atypical ischemic ulcerations of the lower extremity are often non-atherosclerotic in etiology, involve the proximal leg (thigh/buttocks), can evolve despite palpable distal pulses, and may coexist with other cutaneous aberrations (e.g. macules, purpura, nodules, and livedo reticularis). A differential diagnosis of atypical ischemic ulcerations involving the legs is presented.
Dean SM.
Department of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USA.