English
Mixed aetiology ulceration refers to patients with both venous disease and a significant level of arterial disease. Patients must have a comprehensive assessment to identify the underlying aetiology of the ulcer and determine any other disease processes and risk factors. When an ulcer has mixed venous disease and arterial aetiology, the treatment aim is to treat both diseases effectively.
The ulcers present anywhere on the leg/foot depending on the aetiology and can be deep with a punched out appearance and/or shallow with diffuse edges.
In most cases, it is appropriate to use reducing compression which aims to decrease oedema and venous pressure by using external compression but at a level that does not excessively squeeze the arteries and compromise arterial blood flow. The treatment regime of a mixed aetiology ulcer must be undertaken by a specialist practitioner due to the complexities associated with the condition.
