venous reflux in legs :: Article Creator Venous Insufficiency And Venous Ulcers Content What are the symptoms of a venous skin ulcer? The first sign of a venous skin ulcer is skin that turns dark red or purple over the area where the blood is leaking out of the vein. The skin also may become thick, dry, and itchy. Without treatment, an ulcer may form. The ulcer may be painful. You also may have swollen and achy legs. If the wound becomes infected, the infection may cause an odor, and pus may drain from the wound. The area around the wound also may be more tender and red. Call your doctor when you first notice the signs of a venous skin ulcer, because you may be able to prevent the ulcer from forming. If an ulcer has formed, get treatment right away, because new and smaller ulcers tend to heal faster than larger ones. How is a venous skin ulcer treated? The first step involves improving blood circulation. To do this, you can: Lift your legs ab...