Intended for healthcare professionals

Minerva

Dystrophic calcification in leg ulcers

BMJ 2016; 352 doi: https://doi.org/10.1136/bmj.i1325 (Published 10 March 2016) Cite this as: BMJ 2016;352:i1325

Re: Dystrophic calcification in leg ulcers

Such calcific ' entombment' !!!

A. The chronicity required to produce such amount of in vivo calcific grid raises clinical questions ;

Late presentation?

Late diagnosis?

Late or lacking therapy?

B. What were the secondary barometric effects if any on the local crural heamodynamics?

.....the unyielding compressive effects of the calcific tunic on

the venous circulation/:venous hypertension

.the arterial circulation

In short, was there a compartment syndrome from this extra -anatomic rigid layering?

Competing interests: No competing interests

11 March 2016
basil J fadipe
surgeon. clinical prof of surgery and anatomy
none
justin fadipe centre
mero heights, dominica. west indies