Skin ulcer

Key Information

Appropriate Tests

Predisposing conditions

The microbiology of skin ulcers is complex and findings need to be interpreted in the clinical context.

Wound swab - microscopy and culture.

Lesion biopsy, if appropriate, for culture and histology to exclude mycobacterial and unusual fungal infections and malignancy.

See Skin abscess

Decubitus ulcer

 

Diabetes mellitus

 

Arterial insufficiency

 

  • Atherosclerosis

 

  • Thromboembolism

See Thrombosis - arterial.

Venous stasis

See also Thrombosis - venous.

Trauma

 

Neuropathy

 

Neoplasia

 

Infections

Can include leishmania, mycobacterium ulcerans, and numerous other causes with local geographic associations.

See Skin abscess

Vasculitis

 

Pyoderma gangrenosum

 

Gouty tophus

See Gout

Cold related disorders

 

Factitious

 

Sickle cell anaemia

See Sickle cell disorders

Hereditary spherocytosis