A 55-year-old male with a history of alcoholism presents with a chronic non-healing ulcer on his lower leg. The ulcer has a necrotic center surrounded by erythematous tissue. Which of the following is the most likely diagnosis?
1) Arterial ulcer
2) Venous stasis ulcer
3) Pressure ulcer
4) Neuropathic ulcer
📝 Explanation:
The chronic non-healing nature of the ulcer and its location on the lower leg in an individual with a history of alcoholism are more consistent with a neuropathic ulcer. Neuropathy due to chronic alcohol use can lead to loss of protective sensation and poor blood supply, resulting in these types of ulcers.
MCQ