Gottrup Finn, Karlsmark Tonny
Department of Plastic and Reconstructive Surgery, University Center of Wound Healing, Odense University Hospital, Denmark.
Clin Dermatol. 2005 Nov-Dec;23(6):601-11. doi: 10.1016/j.clindermatol.2005.01.018.
Uncommon presentations like vasculitis or other immunologic causes and malignancy account for about 1% to 2% of patients suffering from leg ulcers. We focus on such uncommon leg ulcers including: cutaneous vasculitis causing cutaneous ulceration, other immunologic or metabolic cutaneous lesions such as pyoderma gangrenosum and necrobiosis lipoidica, and ulcers based on neoplastic etiology. A short description on leg ulcers in the tropics is also included. The described uncommon presentations of leg ulcers are typically difficult to diagnose and treat; it is a specialist's job to take care of patients with these types of ulcers. Multidisciplinary specialized wound healing concepts integrated in the national health care system, as an accepted expert function, is the ideal way to organize the wound healing area. Such a system would result in an earlier diagnosis and more sufficient treatment for patients with uncommon presentations of leg ulcers.
血管炎或其他免疫性病因以及恶性肿瘤等不常见的表现形式，在患有腿部溃疡的患者中约占1%至2%。我们关注此类不常见的腿部溃疡，包括：导致皮肤溃疡的皮肤血管炎、其他免疫性或代谢性皮肤病变，如坏疽性脓皮病和类脂质渐进性坏死，以及基于肿瘤病因的溃疡。文中还简要介绍了热带地区的腿部溃疡。所描述的腿部溃疡不常见表现形式通常难以诊断和治疗；照顾患有这类溃疡的患者是专科医生的工作。作为一种公认的专家职能，将多学科专业伤口愈合理念纳入国家医疗保健系统，是组织伤口愈合领域的理想方式。这样的系统将使腿部溃疡不常见表现形式的患者得到更早诊断和更充分治疗。
