01593nas a2200169   4500000000100000008004100001260001300042100001100055700002100066700001200087245005200099856011100151300001100262490000700273520112900280022001401409       2012                            d  c2012 May1 aPuri V1 aVenkateshwaran N1 aKhare N00aTrophic ulcers-Practical management guidelines.  uhttp://www.ijps.org/article.asp?issn=0970-0358;year=2012;volume=45;issue=2;spage=340;epage=351;aulast=Puri  a340-510 v453 a<p>The management of patients with trophic ulcers and their consequences is difficult not only because it is a recurrent and recalcitrant problem but also because the pathogenesis of the ulcer maybe different in each case. Methodically and systematically evaluating and ruling out concomitant pathologies helps to address each patient's specific needs and hence bring down devastating complications like amputation. With incidence of diabetes being high in our country, and leprosy being endemic too the consequences of neuropathy and angiopathy are faced by most wound care specialists. This article presents a review of current English literature available on this subject. The search words were entered in PubMed central and appropriate abstracts reviewed. Relevant full text articles were retrieved and perused. Cross references from these articles were also reviewed. Based on these articles and the authors' experiences algorithms for management have been presented to facilitate easier understanding. It is hoped that the information presented in this article will help in management of this recalcitrant problem.</p>  a1998-376X