Venous leg ulceration is the most common complication of chronic venous disease, having a strong socio-economic impact. The risk factors include: aging, female sex, obesity, certain genetic abnormalities, pregnancy, orthostasis, bipedal walking. The incidence varies according to the geographical area, being higher in the Nordic countries and Central Europe than in the populations in the Mediterranean area. The diagnosis is generally clinical. Tests such as the ankle-index, ultrasonography and plethysmography may be helpful if the diagnosis is unclear. The treatment is conservative, pharmacological and surgical. The purpose of the treatment is to remove venous stasis, to reduce oedema, to improve ulcer healing and to prevent recurrence.
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