This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Referral criteria from primary care - venous leg ulcer

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Referral criteria from primary care- venous leg ulcer

  • specialist referral should be considered in the following conditions:
  • Referral before treatment:
    • an uncertain diagnosis
    • a suspected non-venous cause of ulceration:
      • arterial or mixed venous/arterial ulcer: if ABPI <0.8 refer for further assessment of arterial disease; if ABPI <0.5 refer urgently to specialist vascular clinic
      • malignant ulcer or a rapidly deteriorating ulcer. An atypical appearance or distribution of ulcers may require biopsy by dermatology
      • rheumatoid ulcer or ulcers associated with systemic vasculitis
      • diabetic ulcer or newly diagnosed diabetes in a person with an ulcer
  • Referral during treatment:
    • a complication related to the ulcer or treatment
      • contact dermatitis; refer to a dermatologist for patch testing
      • cellulitis requiring intravenous antibiotics or worsening with treatment
      • pain which is uncontrolled: refer to specialist pain team
    • an unhealed or worsening ulcer after 2-3 months of standard treatment
    • recurring ulcers
    • conditions which need specialist intervention such as varicose veins, arterial insufficiency (1)

Reference:

1. Raffetto JD, Ligi D, Maniscalco R, et al. Why Venous Leg Ulcers Have Difficulty Healing: Overview on Pathophysiology, Clinical Consequences, and Treatment. J Clin Med. 2020 Dec 24;10.


Related pages

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.