Abstract

Venous ulceration is the most common cause due to chronic venous insufficiency in the lower limbs which accounts for 80 percent of lower extremity ulceration. Sustained raise of the pressure in the veins leads to venous hypertension which causes venous ulceration by venous insufficiency. In this case the patient having multiple swellings over the left lower limb and wound over the dorsum of foot in front of the ankle due to trauma. It is insidious in onset gradually progressed and attained the present size with filiform projections. The patients with diabetes are having a high risk of developing this venous ulcers and the diagnosis is mainly based on clinical examination like Doppler ultrasound investigation. The tissue get infected with microbes on the surface of the veins and causing ulcers over that area. To prevent that infection and ulcers the patient was treated with systemic antibiotics and skin debridementation therapy The main goal of treatment is to improve the ulcer healing, and prevent recurrence The achievement of good long-term results depends on continuous care, patient counselling, hygienic conditions, proper diet maintenance and regular evaluation by the doctor.

Key words: Venous ulceration, Venous hypertension, Antibiotic therapy, Ulcer healing, Non pharmacological therapy.