A 64-year-old man developed a painful ulcer on his ankle, which worsened over two years, starting from itchy lesions. Despite antibiotic treatment, the ulcer, measuring 8 by 5 centimeters, deepened and produced a foul odor. The man described how the initially dark lesions escalated into a chronic ulcer, causing the flesh around it to rot. Doctors at the Brigham and Women's Hospital employed a Clinical Problem-Solving method to diagnose the underlying cause of this alarming condition.
The man presented with an 8 by 5-centimeter ulcer on his left ankle, surrounded by black, ashen, and dark purple tissue, with a significant depth and foul odor.
Over a two-year period, dark, itchy lesions evolved into a deep ulcer, which led to antibiotic treatment that proved ineffective.
A month before his emergency visit, the ulcer was a gaping wound, with surrounding flesh rotting away, classifying it as a chronic ulcer.
Doctors utilized a Clinical Problem-Solving approach to understand the cause of the man's severe and progressing ulcerative condition.
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