To the Editor:
—In Dr. Linton's answer to the question on treatment of stasis ulcer which appears in the Nov 24 issue of The Journal (182:885), there are two items with which I disagree and a third which is not mentioned.
In my experience, antibiotics as local treatment for varicose ulcers should never be used, since local allergy frequently develops. Systemic allergy or atopic dermatitis are other complications. Furthermore, local antibiotic therapy is never needed.
An adequate compression dressing, tightly applied, as mentioned by Dr. Linton, will certainly promote the healing of any stasis ulcer, provided that local inflammation and tenderness do not preclude the use of adequate pressure. Many patients, when first seen, have so much inflammation and tenderness in the region of the ulcer that they must be placed at bed rest with the legs elevated above heart level. Boric acid or Burow's solution wet dressings may