Foot ulcers can be caused by arterial insufficiency, diabetes mellitus, neu
ropathy, musculoskeletal. disorders, or injury.(1) The clinical features of
an ulcer-such as site, shape, edge, base, and state of the surrounding tis
sues-often give some indication of its aetiology and aid in further managem
ent and treatment. Ulceration of the foot is seen in some patients with ven
ous disease but has not been observed in association with any particular tr
eatment regimen.(2) We describe a previously unreported finding of ulcerati
on of the toe and cleft, for which there was no demonstrable ischaemic or v
asculitic cause, developing in patients treated with compression bandaging
for venous ulcers.