![]() 3,4 This review will deal specifically with leg ulcers, an area in which in my opinion Spanish dermatologists should play a much more prominent role, as occurs in other countries. 2 However, the most widely accepted definition is to consider an ulcer to be chronic if it does not heal in the expected time or shows little tendency to heal. Some reviews anchor the concept to a specific period between 4 to 12 weeks, and use the term chronic wound when healing exceeds this time. We should also define what we mean by chronic. The term ulceration is preferred for an acute process, while ulcer is used for chronic conditions 1 and the term chronic ulcer would be tautological. In English, when the ulcer is caused by trauma it is called a wound ( herida in Spanish). ![]() In dermatology, an ulcer is a pathologic process that causes loss of skin integrity in at least the dermis. ![]() It seems appropriate to begin a review of the diagnosis and treatment of leg ulcers with a definition of what we mean by the term ulcer. ![]()
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