Sorry for such a graphic photo, but someone asked for updates. The reason I’ve put this one is it shows how deep the ulcer/lesion had gone down, you can actually see the tendon. Even the community nurse who is supposed to be a wound care specialist seemed a bit horrified. The good news is my immunologist, who is currently overseas, will be back next week and a lovely secretary made sure that I have an appointment next Friday week at 10am, so I will hold out to then and see what he says. I'm not sure how I do this but I regularly lose my post, just as I’ve finished and about to post it. The final post always ends up shorter, lol. Janie, our history sounds very similar but I haven’t tried Dapsone yet.
Thanks everyone for your encouragement, talk soon Lesley
(PS it does ache but not as bad as what it looks!). The white around the edge is an ointment called Calmoseptine which the nurse used as a barrier cream.