Trunk Ulcer

Ulcers on the trunk include those on the chest,back and abdomen.

You do not often get ulcers in these areas unless it is Pyoderma gangrenosum occuring in the breakdown of surgical wounds.Ulcers due to stasis,arterial insufficiency,neuropathy and diabetes tend to occur in acral areas on the lower legs and arms.Skin malignancies in these areas may break down into ulcers.A biopsy is therefor obligatory in any chronic ulcer in these areas.

SIGN DIP MEN  Overview of Ulcers

 

S-Squamous

 

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

 

G-Granulomatous  Midline lethal granuloma and Wegener’s granulomatosis

 

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

 

D-Drugs

 

I-Immunological  Pyoderma gangrenosum

 

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

 

M-Metabolic   Porphyria cutanea tarda,

 

E-Endocrine

 

N-Nutritional

 

Others   Temporal arteritis,