ArticleCureus2025
Compression Therapy Challenges and Ulcer Recurrence in Chronic Venous Insufficiency: A Case Report and Review of Management Approaches.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Chronic venous insufficiency (CVI) is a major cause of recurrent venous leg ulcers (VLUs) and presents treatment difficulties for elderly patients. This case report describes an 88-year-old female with CVI, cardiomyopathy, hypertension, dyslipidemia, and left-sided hemiplegia who presented with a 10-day history of left lower leg tenderness and purple-red discoloration. Examination revealed bilateral varicosities and a stage 4 VLU over the medial malleolus with purulent drainage and surrounding erythema. After 12 days of compression therapy, the ulcer improved to stage 3. However, two months of non-adherence to the treatment led to recurrence with a new stage 2 ulcer. The patient was subsequently initiated into a structured program with demonstrations, written instructions, scheduled reminders, and weekly follow-ups. After 22 days of consistent compression therapy, the ulcer improved to stage 1. This case emphasizes the importance of consistent compression therapy and multifaceted approaches in managing recurrent VLUs.
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