Riambau Alonso Vicente

• Varicose ulcer: Usually located in the dorsum of the foot and on the internal malleolus. Its characteristic presents with disturbances to standing, white atrophy, yellowish brown pigmentation, etc.
• Postphlebitis ulcer: usually is located mostly on the internal maleolar. It presents with disturbances to orthostatic hypotension, a red bottom, irregular borders.
• Hypertensive ulcers: Located in the antero-external facet of the lower third of the leg, they are infrequent, usually painful and difficult to cure.
• Diabetic ulcers:
  • 1. Macroangiopathy: large vessel disease similar to the arteriosclerotic ones, but with a greater capacity of getting infected
  • 2. Microangiopathy: small vessel disease, these appear spontaneously or by a slight trauma (callus, chafing, abrasion)

In both cases they are located in the digital areas and areas of chafing and usually vary in size, deep and round, with a red bottom and relatively painful

3. Neuropathic: these are located in the metatarsalphalangeal joints of the first and fifth toes in the plantar zone. They vary in size, are painless and can be in depth surrounded by hyperkeratoses