A postoperative ulcer expands rapidly after repeated debridement. It has an undermined violaceous edge, cultures remain negative and biopsy excludes

Question

A postoperative ulcer expands rapidly after repeated debridement. It has an undermined violaceous edge, cultures remain negative and biopsy excludes vasculitis and malignancy. Which management principle is most appropriate?

Accepted Answer

Stop traumatic debridement and treat inflammatory disease

Answer

Use prolonged antibiotics despite negative cultures

Answer

Excise the ulcer with a wide oncological margin

Answer

Apply compression as the sole intervention

Answer

Continue serial sharp debridement to healthy tissue

PG Diagnosis of Exclusion — SCE Dermatology MCQ

A postoperative ulcer expands rapidly after repeated debridement. It has an undermined violaceous edge, cultures remain negative and biopsy excludes vasculitis and malignancy. Which management principle is most appropriate?