The leg ulcer is a very common problem whose social and economic burden is considerable. Considered by many patients as inevitable, it is currently available therapies effective can in most cases be used in ambulatory. Thus, healing can often be obtained provided that employ a diagnostic and therapeutic approach using the most rigorous collaboration between various actors whether medical (general practitioner, dermatologist, angiologist, vascular surgeon, endocrinologist, internist, etc.) and paramedics (nursing (e) s, physiotherapists etc.).
A) the pathophysiological mechanisms
The leg ulcer (UJ) is a loss of substance relevant to chronic skin epidermis, dermis and hypodermis possibly more or less extensive and often sitting on the lower third of the leg. The back of the foot and the proximal region of the leg are often less affected except in certain special circumstances etiological. (more…)