referral criteria from primary care - leg ulcer
Last reviewed 01/2018
Who to refer
Referral must be considered in the following cases:
- venous ulcers failing to progress at three months or which have not healed
by twelve months
- all ulcers of an arterial or mixed aetiology - assessment needed for reconstructive
surgical / radiological procedures
- failure to adequately control underlying pathologies
- suspected malignant change (2 Week Rule referral to dermatology)
- suspected cases of contact allergic dermatitis
- post-healing - consideration should be given to the referral for further investigations of venous leg ulcers to see if surgical intervention would reduce the risk of re-ulceration. Such a referral would depend on local resources, and is particularly relevant for patients developing ulcers from a young age
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