TITLE

ARTERIOSCLEROTIC ULCER OF LEGS WITHOUT OCCLUSIVE ARTERIAL DISEASE

AUTHOR(S)
Rosenberg, Helmar G.; M�ller, Max V.
PUB. DATE
August 1977
SOURCE
Angiology;Aug1977, Vol. 28 Issue 8, p561
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Twenty-one patients with arteriosclerotic ulcers of the legs are presented. All bad normal blood pressure and had not a diabetic background, varicosities, or arteriosclerosis obliterans of the lower extremities. Histologic examination is shown to be the best procedure for establishing the correct diagnosis. Changes in small arteries, between 100 and 300 microns in diameter, are characteristic. Two types of lesions were observed in these vessels: type I, consisting of hyperplasia of intima and media: and type II, consisting of enlargement and fibrosis of the intima and media. The type 11 lesion was found to be useful in separating arteriosclerolic ulcers from hypertensive ones, as well as from diabetic ulcers. The treatment consisted of local surgical resection und grafting. In five cases, because of multiple ulcers and/or severe dysthrophic skin changes, a sympatectomy was also performed.
ACCESSION #
16400555

 

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