Atrophy blanche ulcer - Altmeyers Encyclopedia - Department Vascular medicine

Synonym(s)

Ulcer in atrophie blanche

Definition
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Heavily painful leg ulcer at the base of an atrophie blanche.

Etiopathogenesis
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Often caused by chronic venous insufficiency stage II/III. Pathophysiological processes that are not yet further understood lead to chronic vasculopathy with consecutive vascular occlusion. The clinical characteristic of this process is an extraordinarily intense painfulness.

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Clinical features
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S.u. Atrophie blanche.

General therapy
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Treatment of the cause, compression therapy, possibly sclerotherapy in case of underlying varicosis are the most important prerequisites for healing of the ulcer.

External therapy
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Stage-specific ulcer therapy according to venous leg ulcer. In non-pyodermised inflammatory marginal areas, glucocorticoids can be applied periulcerously in the short term, if possible on the basis of indifferent bases (e.g. 0.1% betamethasone ointment).

Notice! The use of glucocorticoids must be limited in time!

Internal therapy
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Analgesia and antiphlogistics with acetylsalicylic acid high dosage (e.g. ASS) 3 times 500-1000 mg/day p.o. Cave! stomach protection! see below Atrophy blanche.