Etiology of Chronic Leg Ulcers in a Dermatologic Wound Clinic: A Retrospective Observational Study.

IF 1 4区医学 Q4 DERMATOLOGY Wound management & prevention Pub Date : 2022-08-01

Paola Monari, Giulio Gualdi, Sara Rovaris, Anna Venturuzzo, Chiara Rovati, Piergiacomo Calzavara Pinton

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Abstract

Background: Chronic leg ulcers affect approximately 1% to 2% of the European population, with an increasing prevalence. The treatment of chronic wounds is a socioeconomical problem worldwide.

Purpose: The main purpose of the current investigation was to detect the etiology of leg ulcers treated in a dermatologic wound clinic from January 1, 2010, to December 31, 2019.

Methods: This retrospective observational study was performed at the Dermatologic Clinic of Spedali Civili in Brescia, Italy. The authors enrolled 465 patients with chronic leg ulcers.

Results: The 3 most represented causes of ulcers were vascular (238 patients, 51.2%), inflammatory (71 patients, 15.3%) and traumatic (43 patients, 9.3%). Altogether, a total of 13 different entities were identified as a cause of leg ulcer.

Conclusion: Vascular genesis was the most common etiology of leg ulcers in this population, even though uncommon causes were also represented. These findings are in agreement with other studies reported in the literature.

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皮肤伤口诊所慢性腿部溃疡的病因学:一项回顾性观察研究。

背景:慢性腿部溃疡影响约1%至2%的欧洲人口，患病率呈上升趋势。慢性伤口的治疗是一个世界性的社会经济问题。目的:本研究的主要目的是检测2010年1月1日至2019年12月31日在皮肤科伤口诊所治疗的腿部溃疡的病因。方法:这项回顾性观察性研究是在意大利布雷西亚的Spedali Civili皮肤科诊所进行的。作者招募了465名患有慢性腿部溃疡的患者。结果:引起溃疡最常见的3种原因是血管(238例，51.2%)、炎症(71例，15.3%)和外伤性(43例，9.3%)。总共有13种不同的实体被确定为腿部溃疡的原因。结论:血管发生是该人群中最常见的腿部溃疡的病因，即使不常见的原因也有代表。这些发现与文献中报道的其他研究一致。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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