Secondary Logo

Journal Logo

Wound Snapshot: Vasculitic Ulcers

Section Editor(s): Hess, Cathy Thomas BSN, RN, CWOCN

Advances in Skin & Wound Care: December 2003 - Volume 16 - Issue 7 - p 335
INFOLINK
Free

An overview of chronic wound characteristics.

Back to Top | Article Outline

VASCULITIC ULCERS

Predisposing Factors/Cause

Often accompanied by history of recurrence; almost always accompanied by connective tissue disease and systematic inflammatory conditions

Back to Top | Article Outline

Location and Depth

Below malleolus-foot dorsum; shallow in depth

Back to Top | Article Outline

Wound Bed and Wound Appearance

FIGURE

Figure

Figure

Typically arise from small reddened areas that continue to increase in size; necrotic with marked vascularity; wound bed contains mixed necrotic and red granulation tissue

Back to Top | Article Outline

Exudate/Drainage

Exudate amount varies

Back to Top | Article Outline

Wound Shape and Margins

Irregular, blistering edge; purple-red, hemorrhagic, “angry looking” intense surrounding erythema

Back to Top | Article Outline

Surrounding Skin

Hyperemic; characterized by atrophie blanche, livedo reticularis, and purpura; often accompanied by hyperpigmentation

Back to Top | Article Outline

Pain

Often accompanied by severe pain at rest, numbness, paresthesias

Back to Top | Article Outline

Healing

Must control the inflammatory process and establish adequate circulation to heal

Photo: Baranoski S, Ayello E. Wound Care Essentials: Practice Principles. Springhouse, PA: Lippincott Williams & Wilkins; 2004.

© 2003 Lippincott Williams & Wilkins, Inc.