OBJECTIVES: accurate diagnosis is essential if @entity1 with chronic leg ulceration are to receive optimal treatment. This prospective study describes the findings of a standardised assessment protocol and the initial management of a consecutive series of @entity1 with chronic leg ulceration presenting to a single-visit leg ulcer assessment clinic. METHODS: between January 1993 and January 1999, a total of 555 @entity1 (220 @entity1 and 335 @entity1 of median age 73, range 28-95 years) with 689 @entity6008 were assessed. Full clinical assessment, ankle:brachial pressure index and lower limb venous duplex scan were performed according to a standardised protocol and diagnostic and management data were recorded prospectively on a computerised database. RESULTS: @entity66 alone was responsible for 496 of 689 (72%) @entity1066 . Isolated superficial @entity1211 (SVR) was identified in 52% of limbs and two-thirds of these had superficial venous surgery. Combined SVR and segmental deep @entity1211 (DVR) was present in 13%, and full-length DVR was present in 33% of limbs. Nineteen (4%) limbs had @entity1150 or obstruction. Overall, superficial venous surgery was performed in 43% and compression bandages or hosiery alone were applied in 52% of limbs. Mixed arterio-venous ulceration was present in 100 (14.5%) limbs of which 56 had arterial revascularisation, 38 had superficial venous surgery and 23 had compression alone. Fifteen limbs with pure arterial ulceration had angioplasty (n=13) or simple dressings alone (n=2). Ulceration due to lymphoedema (n=17), mixed lymphoedema and @entity1211 (n=11) and other causes (n=50) were managed by compression, dressings or skin grafting. CONCLUSIONS: a standardised protocol of clinical and duplex assessment can lead to a diagnosis in 97% of @entity6008 . Duplex is essential to confirm or exclude potentially correctable @entity66 and allow tailored surgical intervention for those @entity1 who many benefit.

The diagnosis and management of 689 XXXX in a single-visit assessment clinic.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity66 :: ('MESH:D004194', 'Disease') :: ['venous disease'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcers'] @entity1150 :: ('MESH:D020246', 'Disease') :: ['deep venous stenosis'] @entity1211 :: ('MESH:D054556', 'Disease') :: ['venous reflux'] @entity6008 :: ('MESH:D007871', 'Disease') :: ['chronic leg ulcers']
@entity6008 :: (MESH:D007871,Disease) :: ['chronic leg ulcers']
