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Multiple ulcers appearing on foot and I don’t know why

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    Multiple ulcers appearing on foot and I don’t know why

    Over the last month I’ve had three or four incidents of ulcers appearing on my right foot. Each has been about an inch in diameter and looks exactly like a stage two pressure sore. After several weeks care with Xeroform & polysporin, the first group seemed to heal, but a few days later a new ulcer appeared. They ooze liquid for a while until cured.

    This was initially diagnosed as cellulitis and a 1 week doxycycline course was prescribed. This seemed to cure it. I also thought my footrest might have caused one of the ulcers, now I don’t know. Culture was negative.

    1. Maybe this is cellulitis, but the most recent ulcer appeared while I was taking cipro. And there is no spreading redness.

    2. The latest ulcer is on top of the foot. I don’t see how I could have gotten a pressure sore there. Maybe from too-tightly velroed diabetic slippers worn without socks?

    I am totally at a loss here, no idea what is causing this. A picture is attached, the new pressure sore or ulcer is the one on the top of the foot on the left; the others are the recently healed ones.

    Does anyone have any idea how to figure out what’s causing these sores and how to prevent them?

    Click image for larger version  Name:	817FBA85-6F73-4E12-B7F9-26DA8106AEBA.jpeg Views:	0 Size:	57.3 KB ID:	2902916
    Last edited by xsfxsf; 22 Sep 2020, 10:39 AM.

    #2
    Are you diabetic? Do you have peripheral vascular disease? These may not be pressure injuries, but vascular ulcers instead. They look more like diabetic or arterial superficial ulcers than they do venous ulcers (which are more common on the calf, and usually irregularly shaped). I would recommend you see your PCP and request an evaluation for both your venous and arterial vessels in your legs. People with SCI/D don't get the normal symptoms of these problems, and they are often under diagnosed for that reason. If you have not been diagnosed with diabetes( Type 2) in the past, you should also have tests for this (an A1C being the best test), as it is much more common in people with SCI than in the AB population.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

    Comment


      #3
      Thank you for the information KLD.

      I have not yet seen my PCP. I have been mainly focused on a UTI right now. The particular new foot ulcer did heal on its own, with dressing.

      I have a new and even more bizarre symptom. Three times now (a year ago, a few months ago, and a few days ago) I have gotten a long red streak from my right knee down my ankle. After a few hours it starts to put out a lot of yellow pus. It seems to heal with dressing and time, maybe antibiotic.

      What is weird about it is the first two times this happened, I was told emphatically that it was definitely a burn, by several different doctors, two of whom were ER doctors. They said it had sharp edges and splash marks (small sores nearby) indicated a burn. And in fact I assumed that it was a burn, and carefully went over how it could have happened, although I never really figured it out.

      But now this has happened again. I feel it is highly improbable that I would have gotten the same burn three times, in almost exactly the same (but not exactly the same) place, and would not remember how.

      Also, this last time, the urgent care doctor said it was not a burn - it was an abrasion causing cellulitis.

      And the last two times, this scar happened at the same time as there was new redness in the right foot, which the ER doctor said the previous time was completely unrelated. This last time the urgent care doctor said the rash on the right side of the ankle as not new, even though it was pink like a new stage 1 pressure sore, and even though I think it is new.

      If this rings a bell let me know. I am worried about getting C.diff if I visit too many doctors, most of whom prescribe even more antibiotics, I'm on a high dose of Levaquin now, and anything to narrow down what to look is helpful.

      Here is the latest scar/rash/burn/abrasion/cellulitis. The rash continues down the left side of the right leg to the ankle, without pus. You can also see a new red mark on the right side of the right foot. You can see the healed ulcers on my right foot, about 4 of them in the last several months. The other two episodes of this rash looked similar, just displaced a bit to the left. The first one a year ago had much bigger blisters. Not that the "burn rash" looks like a burn, but the "ulcers" on the right foot looked like stage 2 pressure sores.
      Attached Files

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        #4
        You need to see a specialist as KLD mentioned to the vascular specialist?
        infectious disease if there is a possibility of another type of infection
        or Dermatology if you are allergic to any antibiotics?

        I can't say I have ever seen anything like what your pictures reveal

        pbr

        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

        Comment


          #5
          Assuming you had blood tests..........so any findings there? Could this be related to UTI?
          So important, as SCI nurse said, to see specialists to figure out this puzzle. I'm sure they can figure out what's going on.

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