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Jebmh.com Original Article STUDY OF INCIDENCES OF NON SPECIFIC ULCER OF FOOT AND LEG IN AND AROUND KULASEKARAM Balajee D1, Velayudhan Nair C. K2, Arun Kumar S. Bilodi3 1Professor & HOD, Department of Surgery, Sree Mookambika Institute of Medical Sciences Kulasekaram, Kanyakumari Dist., Tamilnadu. 2Professor, Department of Surgery, Sree Mookambika Institute of Medical Sciences Kulasekaram, Kanyakumari Dist., Tamilnadu. 3Professor, Department of Anatomy, Sree Mookambika Institute of Medical Sciences Kulasekaram, Kanyakumari Dist., Tamilnadu. ABSTRACT AIM The objective of present study in to know the incidences of non-Specific Ulcer of foot & Leg in and around Kulasekaram of rural population of Kanyakumari District. PLACE OF STUDY This study was done in inpatient department of surgery of Sree Mookambika Institute of Medical Sciences. Kulasekaram. PERIOD OF STUDY A one year survey was done from 02-10-2014 to 01-10-2015. MATERIALS AND METHODS This study was done on Eighty-six patients admitted in Department of Surgery, at Sree Mookambika Institute of Medical Sciences, Kulasekaram Out of eighty-six, males were seventy-three, and 13 were females were thirteen between the age groups of 30 to 86 years. Each patients with nonspecific ulcer was examined thoroughly with proper detailed past history, personal history, family history, systemic history & history of similar complaint in the family. OBSERVATIONS Regarding personal habit & systemic disease, twenty five were smokers and forty eight were diabetics. Another interesting factor is seventy eight people were using coconut oil for all food preparation. Incidences of non-specific Ulcers were more in elderly age group above the age of 61 years. CONCLUSION It has been observed that incidences of nonspecific ulcers were more in patients who were using coconut oil for all food preparations. Hence coconut oil might have caused above nonspecific ulcers. Hence it has been studied and reported. TAKE HOME MESSAGE Awareness of nonspecific ulcers by using coconut oil has to be given. If it is caused by using the coconut oil then it should be avoided. KEYWORDS Ulcers, Varicosity of Vein, Specific ulcers, Nonspecific ulcers, Malignant ulcers, Morphological Death. HOW TO CITE THIS ARTICLE: Balajee D, Nair CKV, Bilodi AKS. Study of incidences of non-specific ulcer of foot and leg in and around Kulasekaram. J. Evid. Based Med. Healthc. 2016; 3(11), 295-299. DOI: 10.18410/jebmh/2016/72 INTRODUCTION: Ulcer can be defined as a break or A) Clinically Ulcer is classified into Healing Ulcer, Spreading discontinuity in the surface epithelium of skin or mucous Ulcer and Chronic Ulcer. membrane due to morphological death of tissues. B) Pathologically Ulcer is classified into Specific Ulcer, Non Specific Ulcer and Malignant Ulcer. Submission 16-01-2016, Peer Review 01-02-2016, Specific and malignant occurs due to specific aetiology, Acceptance 03-02-2016, Published 08-02-2016. needs specific treatment. In nonspecific Ulcer, etiology of Corresponding Author: Varicose Ulcer is excluded. Here this study is made to quote Dr. Balajee D, a reason for other nonspecific Ulcers that is coconut oil may Professor & HOD, Department of Surgery, Sree Mookambika Institute of Medical Sciences, be precipitating factor or etiological factor. Kulasekaram, Kanyakumari Dist., Tamilnadu. MATERIALS AND METHODS: Eighty-six patients admitted E-mail: [email protected] in Department of Surgery, of Sree Mookambika Institute of DOI: 10.18410/jebmh/2016/72 J. Evid. Based Med. Healthc., pISSN- 2349-2562, eISSN- 2349-2570/ Vol. 3/Issue 11/Feb. 08, 2016 Page 295 Jebmh.com Original Article Medical Sciences, Kulasekaram of rural population of Sl. No. Date Sex (M/F) Age Complaints Kanyakumari District constituted the materials for the 1 02-12-2014 Male 78 Ulcer-Right leg present study. Out of them seventy-three were males, and 2 05-12-2014 Female 36 Ulcer-Right leg thirteen were females between the age groups of 30 to 86 3 08-12-2014 Male 84 Ulcer-Right foot years. Each patient with nonspecific ulcer was examined 4 10-12-2014 Male 69 Ulcer-Right foot with proper detail past history, personal history, family Table 3: Month of December 2014 history, systemic history & any history of similar complaint in the family were also noted. Total: 4 Cases. INVESTIGATIONS: Sl. Sex Date Age Complaints 1. Venous Doppler showed incompetence of Sephano- No. (M/F) fermoral Junction or perforators in 17 patients. They 1 Male 68 Ulcer-Left foot were excluded for study. 2 02-01-2015 Male 62 ulcer-Right foot 2. Only 53 patients were willing for arterial Doppler. Among 3 Male 74 Ulcer-Right foot them 50 patients had atherosclerosis of large & medium 4 07-01-2015 Male 56 Cellulitis-Right leg sized arteries. 5 21-01-2015 Female 33 Ulcer-Left leg 3. Routine investigation done for haemogram and lipid Table 4: Month of January 2015 profile. Total: 5 cases. Surgery department: Month of October 2014 to Sl. Sex September 2015 Date Age Complaints No. (M/F) Sl. Sex Date Age Complaints 1 Female 38 Ulcer-Left leg No (M/F) 03-02-2015 2 Male 30 Ulcer-Right leg 1 02-10-2014 Male 40 Ulcer-Right foot 3 08-02-2015 Male 40 Ulcer-Right Foot 2 03-10-2014 Male 30 Ulcer-Right leg 4 12-02-2015 Female 19 Chronic ulcer-Right leg 3 05-10-2014 Male 46 Ulcer-Left Foot 5 16-02-2015 Male 70 Ulcer-Left Foot 4 08-10-2014 Male 70 Ulcer-Right leg 6 19-02-2015 Male 78 Ulcer-Left leg 5 14-10-2014 Female 43 ulcer-Right-Leg 7 23-02-2015 Male 45 Chronic Ulcer-Right leg 6 18-10-2014 Female 46 Ulcer-Right foot Table 5: Month of February 2015 7 Male 65 Ulcer-Right foot 26-10-2014 8 Male 69 Ulcer-Left foot Total: 7 cases. 9 Male 39 Ulcer-Left foot 29-10-2014 10 Male 80 Ulcer-Left leg Sl. Sex Date Age Complaints 11 Male 56 Ulcer-Left leg No. (M/F) 30-10-2014 12 Male 74 Ulcer-Right leg 1 02-03-2015 Male 63 Chronic (Ulcer Left)leg Table 1: Month of October 2014 2 08-03-2015 Male 62 Ulcer chronic-Left leg 3 13-03-2015 Male 54 Ulcer-Right Foot Total: 12 cases. 4 28-03-2015 Male 72 Chronic ulcer-Right leg Table 6: Month of March 2015 Sl. Sex Date Age Complaints No. (M/F) Total: 4 cases. 1 03-11-2014 Female 64 Ulcer-Right leg 2 06-11-2014 Male 68 Ulcer-Right foot Sl. Sex Date Age Complaints 3 09-11-2014 Male 60 Ulcer-Left foot No (M/F) 4 14-11-2014 Female 46 Ulcer Right foot 1 Male 69 Chronic Ulcer-Right leg 01-04-2015 5 Male 49 Ulcer-Right foot 2 Male 45 Chronic Ulcer-Left leg 18-11-2014 6 Male 44 Chronic Ulcer-Right Foot 3 08-04-2015 Male 30 Chronic ulcer-Right leg 7 Male 39 Ulcer-Left Foot 4 Male 59 Chronic ulcer-Right leg 24-11-2014 8 Female 46 Chronic Ulcer-Right foot 5 16-04-2015 Male 50 ulcer-Left foot 9 Male 72 Ulcer-Right leg 6 23-04-2015 Male 51 Chronic Ulcer-Right leg 30-11-2014 10 Female 45 Ulcer-Left Foot 7 Male 77 Chronic ulcer-Right leg 26-04-2015 Table 2: Month of November 2014 8 Male 65 Ulcer-Right leg 9 Male 29 Chronic Ulcer-Right leg Total: 10 cases. 29-04-2015 10 Male 50 Ulcer-Left leg Table 7: Month of April 2015 Total: 10 cases. J. Evid. Based Med. Healthc., pISSN- 2349-2562, eISSN- 2349-2570/ Vol. 3/Issue 11/Feb. 08, 2016 Page 296 Jebmh.com Original Article Sl. Sex Sl. Sex Date Age Complaints Date Age Complaints No (M/F) No. (M/F) 1 02-05-2015 Male 51 Chronic ulcer-Right foot 1 03-09-2015 Male 53 Ulcer-Left leg 2 05-09-2015 Female 60 Ulcer-Right leg 2 05-05-2015 Male 41 Chronic Ulcer-Right foot 3 07-09-2015 Male 40 Ulcer-Right Foot 3 13-05-2015 Male 55 Chronic Ulcer-Right Foot 4 09-09-2015 Male 60 Ulcer-Left foot 4 19-05-2015 Male 64 Chronic ulcer-Left-Foot 5 Male 38 Ulcer-Left Foot 5 20-05-2015 Male 69 Ulcer -Right foot 11-09-2015 6 Male 48 Ulcer-Left leg 6 Male 23 Ulcer- Left foot 21-05-2015 7 14-09-2015 Male 60 Ulcer-Left leg 7 Male 70 Ulcer-Left foot 8 01-10-2015 Female 53 Ulcer-Left foot 8 23-05-2015 Male 44 Ulcer -Left foot Table 12: Month of September 2015 9 27-05-2015 Male 33 Ulcer -Left foot 10 29-05-2015 Male 46 Ulcer-Left foot Total: 8 cases. 11 31-05-2015 Male 85 Ulcer-Right leg Table 8: Month of May 2015 OBSERVATION: This study was done on eighty six patients. Out of them seventy three [84.88%] were males Total: 11 cases. and thirteen [15.11%] were females. There were forty eight people with diabetic and smokers were twenty five. Ulcers Sl. Sex were seen in 44.18% on the left side, 55.81% on the right Date Age Complaints No (M/F) side. Ulcers over the leg were observed in 36cases [41.85%] 1 Male 61 Ulcer-Right foot and ulcers were seen over the foot in 48 of cases [55.81%]. 01-06-2015 2 Male 86 Ulcer-Left Foot There were only two cases [2.32%] of cellulitis. Fifty 3 05-06-2015 Male 62 Ulcer-Left Foot patients had atherosclerosis of large & medium sized 4 07-06-2015 Male 37 (Left) Ulcer-Left foot arteries.