Between 500,000 and 800,000 Americans are affected by venous leg ulcers annually, reports the Cleveland Clinic. Leg ulcers are open wounds that have difficulty healing, often recur and have high infection rates. People who are diabetic, suffer from poor circulation or blood clotting disorders or have poor valve function in the leg veins are at high risk for the condition. Treatment options may include closely monitored wound care, antibiotic therapy and compression stockings. Venous ulcers are commonly found below the knee, on the inner or side of the leg.
Edema and Surrounding Skin
The lower leg or foot may appear swollen when a leg ulcer is present. When pressed with a finger, the swollen areas hold the imprint of a finger for several seconds. Surrounding skin may appear a reddish brown or dark in coloration. Patches of redness, skin flakes and weeping fluids similar to eczema may occur. The skin feels firm to the touch and may appear tight and shiny, depending on the amount of swelling. The surrounding skin may itch and remain uncomfortable. These symptoms are often associated with stasis dermatitis, a condition often diagnosed with the presence of venous ulcers, reports the Merck Manual.
Coloration and Sensitivity
Until the actual wound or ulcer opens, the skin is dark red or deep purple in coloration. Red streaks may be present radiating from the area indicating a deep skin infection is forming. The site may feel tender and difficult to move. The leg may feel extremely heavy and walking is difficult. Elevating the leg decreases pain and the heavy sensation.
Open Wound
Leg ulcers have irregular shaped edges and often leak clear fluid. Yellow or green discharge signals that an infection is present. Additional signs of infection include a foul odor, fever and a growing ulcer. According to Cleveland Clinic, drainage may be severe with leg ulcers. A thin film of white or yellow tissue covers the wound opening. Medical attention is critical to prevent further complications.
