2.6 Ulcer
Synonyms
Deep wound.
Definition / Description
Round or irregular deeper defect extending through dermis to subcutis, fascia or bone.
Color: red, often pale yellow, yellow or gray-yellow.
Peripheral erythema, sometimes necrosis.
Localisation
Depends on etiology, skin and mucosal membranes.
Course
May develop crusts or necrosis.
Always heals with scar.
Comment / Explanation
Nosologic entity, like venous ulcer.
Aphthae on mucous membranes (mm or cm).
Typical Dermatoses
Ulcus cruris, peripheral occlusive disease, burn, decubital ulcer, ulcerating tumours.
Pathophysiology
Vascular obstruction: reduced perfusion, infection, tumor.
Tissue destruction through trauma, burns or frost bites.
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