My ulcer has been dressed for two years without diagnosis. Is that normal?

No. Every chronic wound deserves a systematic work-up of circulation, immunity and tissue biopsy. Years of dressings without a diagnosis usually means the real cause was never looked for.

What tests will I need?

Typically circulation testing, blood panels for immune and metabolic causes, wound swabs and often a small biopsy from the ulcer edge. Together these identify the cause in most patients.

Are rare wound diseases treatable in Surat?

Yes. Conditions like pyoderma gangrenosum and autoimmune ulcers respond well to correct medical treatment, delivered at the clinic in coordination with physician and rheumatology colleagues.

What does the work-up cost?

The complete evaluation costs roughly a few standard consultations plus tests, confirmed in writing beforehand, and it typically saves months of ineffective dressing expenses.

What if no cause is found for my wound?

A wound without an obvious cause usually needs a biopsy and blood tests for immune, infective and blood disorders. In most cases a structured work-up does find the reason it will not heal.

When should a chronic wound be biopsied?

When it has failed to improve over six to eight weeks of proper care, has unusual raised edges, or keeps returning at the same site. A biopsy rules out rare skin diseases and cancer.

Can medicines I take cause an ulcer?

Some can. Certain blood pressure medicines, immune drugs and long-term steroids are known to cause or worsen skin ulcers. Bring your full medicine list to your first visit.

Non-Diabetic Ulcer Clinic

Other Chronic Wounds

Some wounds defy the usual categories: immune-driven ulcers, rare skin diseases, or wounds whose cause has never been found. This clinic exists for exactly those cases.

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Overview

Other chronic wounds cover the rarer causes of non-healing ulcers, including pyoderma gangrenosum, autoimmune ulcers and wounds of unknown cause. Systematic diagnosis is the first treatment, because the right label unlocks the right cure.

When a Wound Fits No Category

Most leg and foot ulcers trace back to veins, arteries, pressure or injury. A stubborn minority do not. These include immune-driven ulcers such as pyoderma gangrenosum, wounds from rare skin and vessel diseases, and ulcers that have been dressed for years without anyone establishing a cause. For these wounds, diagnosis itself is the treatment breakthrough.

What Belongs in This Group?

Pyoderma gangrenosum, a rapidly enlarging immune ulcer
Autoimmune ulcers linked to immune system diseases
Chronic ulcers of unknown cause that have never been fully investigated

How Does EDFC Investigate?

We work through a structured protocol: detailed history, circulation testing, infection and immune blood panels, and a biopsy from the wound edge when indicated. Consequently, most so-called mystery wounds leave with a name, and with the name comes a targeted plan, whether immune treatment, vascular correction or reconstruction.

Cost and First Visit in Surat

A full diagnostic work-up costs little more than the months of dressings it replaces, and all charges are confirmed upfront. If your wound has defied healing and explanation, book a diagnostic consultation, because unnamed wounds rarely heal.

Types of Other Chronic Wounds We Treat

Pyoderma Gangrenosum

Pyoderma gangrenosum is a rare immune ulcer that enlarges with frightening speed and worsens if operated on. …

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Autoimmune Ulcers

When the immune system attacks skin or its blood vessels, ulcers appear that no dressing can out-run. Treatin…

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Unknown Cause Chronic Ulcers

A wound that has been treated for months without a diagnosis is not mysterious, it is under-investigated. A s…

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Pressure Related Ulcers

Chronic ulcers caused by repeated pressure or friction from braces, footwear, deformity or habit, healed by r…

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quiz Frequently Asked Questions

Have an ulcer that won't heal?

Send a photo on WhatsApp for an assessment, or book a consultation with Dr. Shah.

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This page is for education only and is not a substitute for an in-person diagnosis. Please consult Dr. Ashutosh Shah or a qualified clinician for advice specific to your condition.