Toe ulceration associated with compression bandaging: observational study.

Foot ulcers can be caused by arterial insufficiency, diabetes mellitus, neuropathy, musculoskeletal disorders, or injury. The clinical features of an ulcer—such as site, shape, edge, base, and state of the surrounding tissues—often give some indication of its aetiology and aid in further management and treatment. Ulceration of the foot is seen in some patients with venous disease but has not been observed in association with any particular treatment regimen. We describe a previously unreported finding of ulceration of the toe and cleft, for which there was no demonstrable ischaemic or vasculitic cause, developing in patients treated with compression bandaging for venous ulcers.