STUDY THE CLINICO-DEMOGRAPHIC-ETIOLOGIC PROFILE OF DIAGNOSED CHRONIC LEG ULCER PATIENTS AT SKMCH, MUZAFFARPUR, BIHAR

Author:

Vikram Kumar1,Kumar Sanjay1,Kumar Manoj2,Jana Debarshi3

Affiliation:

1. MBBS, M.S. (Gen. Surg.), Senior Resident, Department of Surgery, Sri Krishna Medical College & Hospital, Muzaffarpur, Bihar.

2. MBBS, M.S. (Gen. Surg.), Associate Professor, Department of Surgery, Sri Krishna Medical College & Hospital, Muzaffarpur, Bihar.

3. Young Scientist (DST), Institute of Post-Graduate Medical Education and Research, A.J.C. Bose Road, Kolkata-700020, West Bengal, India.

Abstract

Aim: to study the clinico-demographic-etiologic prole of the patients diagnosed with chronic leg ulcer. Materials and methods: prospective clinical study was conducted among 50 patients of lower limb ulcers who attended Surgery OPD of Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar. The selected cases were studied with respect to detailed history along with clinical examination and required investigations were done to reach the denitive diagnosis. Result: Most common age group involved in our study is <60 years (42%) followed by <40 years (34%). Male was the predominant sex involved accounting for 41 cases (82%) and females had the disease in 9 cases (18%). Majority of the patients i.e. 21 patients (42%) were farmers by occupation. The most common etiological type was Diabetic ulcers present in 17 cases (34%) followed by trauma 14 (28%). Diabetes Mellitus was the most common systemic disease in our study accounting for 21 patients (48%). The venous ulcers occurred more commonly in the gaiter zone (100%) whereas arterial and diabetic ulcers occurred mainly on the foot i.e., 100% and 52.9% respectively. Conclusion: The present study concluded that the most common etiologies for chronic leg ulcer were diabetes mellitus and trauma. Results of this study may benet development of clinical management policies concerning chronic wounds.

Publisher

World Wide Journals

Reference12 articles.

1. Bricksson SV, Lundeberg T, Malm MA. Placebo-controlled trial of ultrasound therapy in chronic leg ulceration. Scandinavian J Rehabilitation Med. 1991; 23(4):211-213.

2. Bukkegar G, Gattu M, Tukka V. Study of Clinical Profile of Benign Ulcers of the Leg and Foot in Navodaya Medical College, Hospital & Research Centre, Raichur. SAS Journal of Surgery. 2015; 1(4):175-179.

3. Charles BF, Anderson DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, et al. Schwartz’s Principles of Surgery, 10thed. New York: McGraw-Hill, 2010, 241-52.

4. Das SA. Manual of clinical surgery 10th ed. Kolkata, 2013, 61.

5. Ghauri AS, Nyamekye IK. Leg ulceration: the importance of treating the underlying pathophysiology. Phlebology. 2010; 25(1):42-51.

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