Phlebologie 2018; 47(02): 67-69
DOI: 10.12687/phleb2414-2-2018
Kasuistik – Case report
Schattauer GmbH

Ulcer adiposo-venosum – a therapeutic challenge

Article in several languages: deutsch | English
B. Kahle
1   Klinik für Dermatologie, Allergologie und Venerologie, Universität zu Lübeck, Lübeck
A. L. Recke
› Author Affiliations
Further Information

Publication History

Eingereicht: 05 February 2018

Angenommen: 18 February 2018

Publication Date:
02 April 2018 (online)


Background: The causal therapy of a venous leg ulcer is a therapeutic challenge in obese patients. Method: Based on a case report, the procedure is demonstrated: Sourcing can be used to detect ulcer-relevant varices even in severe obesity and to successfully foam-sclerose them. Results: The successful sclerotherapy of the sourcing-relevant varices has no effect on ulcer healing. Conclusion: Stigmata of chronic venous insufficiency are found in obese patients as a result of obesity, so that weight loss can be considered a causal therapy. In our case, one can speak of an ulcer adiposo-venosum.

English version available at:

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