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Venous Ulcer Prevention — SCE Dermatology MCQ

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EasyWound HealingVenous Ulcer PreventionSCE Dermatology

A 65-year-old man has a chronic venous ulcer that has healed after 6 months of compression therapy. What is the recommended long-term strategy to prevent recurrence?

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Correct answer: C — Lifelong graduated compression hosiery (Class 2 minimum) with regular skin care and ongoing venous assessment

After healing of a venous leg ulcer, lifelong graduated compression hosiery (minimum Class 2 — 18-24 mmHg) is essential to prevent recurrence. Without ongoing compression, venous ulcer recurrence rates are very high (approximately 30-70% within 12 months). NICE CG168 recommends: continued compression hosiery (with proper fitting and regular replacement every 3-6 months), ongoing skin care with emollients, elevation when resting, regular exercise, and consideration of venous intervention (endovenous ablation) for correctable superficial venous reflux. Patient education about the chronic nature of venous disease and the importance of lifelong compression adherence is critical for recurrence prevention.

Reference: NICE CG168; SIGN 120