Mixed venous and arterial leg ulcers

Mixed venous and arterial leg ulcers can occur; 10 to 15% of patients with a venous leg ulcer also have peripheral arterial disease. The venous or arterial components may be unrecognised. Undertake a structured assessment—see Assessing patients with an ulcer or wound.

Assess for venous and arterial disease; see c_lwg2-c10-s1.html#lwg2-c10-s1__tlwg2-c01-tbl1. Although features of both are present, one may dominate. Manage as directed by the patient’s dominant clinical features (see Venous leg ulcers or Arterial leg ulcers).