Chronic leg ulcers in a patient with filarial lymphedema, varicose veins and hepatitis C virus infection: Healing with local wound management and supportive care

Chronic ulcer management is often a frustrating experience not only for the patient but for the clinician as well. Many times, conservative local wound management with good supportive care alone may bring about desirable outcomes. We report the healing of long-standing multiple leg ulcers, with dedicated long-term local wound care and supportive management, in a patient suffering from multiple comorbidities - filarial lymphedema, varicose veins and hepatitis C infection. Cutaneous ulcers in association with hepatitis C infection are rarely reported in the literature. We highlight the importance of investigating rare underlying causes that delay wound healing, apart from stressing the significance of local wound care in inducing healing.