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A 71-year-old diabetic male smoker with severe peripheral arterial disease presented with a dorsal foot ulceration (2.5 cm X 2.4cm) that had been chronically open for nearly 2 years. Arterial insufficiency ulcers (also known as "Ischemic ulcers") are mostly localed on the lateral surface of the ankle or the distal digits.[1]:847 Etiology The ulcers are caused by lack of blood flow to the capillary beds of the lower extremities. When pressure is placed on the skin, the skin is damaged and is unable to be repaired due to the lack of blood perfusing the tissue. The wound has a characteristic deep, punched out look, often extending down to the tendons. The wounds are very painful.[2] See also Venous insufficiency ulceration List of cutaneous conditions References ^ James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.  ^ Hampton, S (2006). "An introduction to various types of leg ulcers and their management". British Journal of Nursing 15 (11): S9.  This cutaneous condition article is a stub. You can help Wikipedia by expanding it. v • d • e