Flexures Ulcers

Ulcers in the flexures

 

You do not often get ulcers in these areas unless it is Pyoderma gangrenosum occuring in the breakdown of surgical wounds or some of the venereal diseases such as chancroid and granuloma inguinale or breakdown of extramammary Paget's disease.Ulcers in the groin may be due to underlying Crohn's disease or Behcet's syndrome or rarely to ecthyma gangrenosum.Blistering disorders such as pemphigus and Hailey hailey disease may present as erosions or ulcers in flexural areas.Never forget factitial ulcers in unusual places.

SIGN DIP MEN  Overview of Ulcers

 

S-Squamous

 

I-Infective   Mycobacterium ulcerans, TB, syphilis, Yaws, Leishmaniasis, Anthrax, Noma, Coccidioidomycosis and Herpes Zoster,Chancroid,Granuloma inguinale,

 

G-Granulomatous  Midline lethal granuloma and Wegener’s granulomatosis,Chron’s disease,rarely Sarcoidosis

 

N-Neoplastic   Squamous cell and basal cell skin cancer, Secondary malignancy

 

D-Drugs Etretinate in inframammary areas,

 

I-Immunological  Pyoderma gangrenosum

 

P-Physical   Traumatic,Venous ,Arterial,Neuropathic, Trauma, Heat, Cold, Factitial, Trigeminotrophic syndrome

 

M-Metabolic   Porphyria cutanea tarda,Prolidase deficiency,

 

E-Endocrine

 

N-Nutritional

 

Others   Temporal arteritis,Sickel cell anemia