Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is a significant characteristic of sickle cell ulcers?

1. They heal quickly with no treatment

2. They have sharp edges and may be bilateral

3. They are generally painless

4. They always present as multiple circular lesions

The correct answer is: They have sharp edges and may be bilateral

Sickle cell ulcers are characterized by their distinct morphology, which often includes sharp edges and a potential bilateral presentation. This uniqueness can result from the underlying pathophysiology of sickle cell disease, where the compromised blood flow and resulting ischemia to the skin can lead to ulcer formation. The sharp edges of these ulcers reflect the abrupt transition from healthy to necrotic tissue. Moreover, they can indeed appear on both sides of the body, emphasizing the systemic nature of vascular issues associated with sickle cell disease. Understanding the characteristics of these ulcers is crucial for effective patient assessment and management in a clinical setting.