Abstract
A 23-year-old male patient had had a blister on his right heel for two months, which had become a deep ulcer of 17mm in diameter by his initial consultation. Because a dulling of the sensation of pain was observed, a detailed medical history was taken. It was revealed that the patient had had an operation of closing myelomeningocele shortly after birth and that he still had a slight neurological disorder in both lower extremities. A detailed neurological examination confirmed a decline in sensation in the areas below S1 in both legs, and an X-ray revealed bisection of the fifth lumber vertebra. According to the above findings, the legion was diagnosed as meningomyelocele with malum perforans pedis. The ulcer was epithelized by rest, leg elevation and topical treatment. A disorder in the spinal cord or vertebra should be taken into consideration as a possible cause of intractable ulcers in the legs.
