Abstract
Microangiolopatic ulcerations represent a peculiar kind of ulceration. Though not
rare, there is still not enough known about them and treatment is inadequate, usually
long term and deceiving. We have followed 66 patients with microangiolopathic ulcerations
secondary to metabolic disorders (diabetes mellitus), vascular disorders (vascularitis,
atherosclerosis, high blood pressure, arteritis, postthrombotic syndrome, atrophie
blanche), postcombustive syndrome, scleroderma, lupus eritematosus, and other disorders.
Besides the clinical investigation, the patients have been investigated by biochemistry
tests, rheography, photopletismoraphy, Doppler ultrasonography, detailed examination
of ocular fundi, morphopathological examination of the ulcerated and apparently healthy
skin, soft tissue radiography, phlebography, arteriography, or lymphography. A therapeutic
attempt in a group of six patients, consisting of sublesional infiltrations and/or
ulcus scarification according to the patient's personal biorithms, had encouraging
results.
