Why is my wound white?

White skin around a wound is usually a moisture problem — healthy tissue that gets too wet can soften and make the wound bigger. A white wound bed is different: contact your provider if a foot ulcer is very white, blue, or black.

White means two different things depending on whether it is the wound or the skin around it, and one of them has its own instruction to call.

The skin around the wound. This one is explained by its cause rather than its color. Keep the dressing and the skin around it dry, and try not to get healthy tissue around the wound too wet. Too much moisture can soften the healthy tissue, causing the wound to get bigger. Soft, pale, waterlogged skin around a wound is a dressing problem, and it is one that enlarges wounds.

The wound itself. This one is more concerning. Contact your provider if your foot ulcer is very white, blue, or black. That is its own instruction, apart from the signs of infection, and you don’t need to interpret it.

Also: wounds that are pale, purple, or black are less likely to heal — and after cleaning or debridement, the wound should be red or pink and look like fresh meat.

There is a third thing that can look white and is not either of those: dead tissue. Sores can be covered in dead skin that is yellow, tan, green, or brown, and slough and eschar are among the devitalized tissue that debridement removes.

So there are three possibilities, and where the white is tells them apart. Around the wound, on soft and soggy skin: a moisture problem. In the wound bed, pale rather than red or pink: something to report, and on a foot, its own instruction to call.

Wound Wizard has a separate article on skin around a wound that is white and soggy, which goes further into the first of these.

What to watch for

Contact your provider if your foot ulcer is very white, blue, or black.

Wounds that are pale, purple, or black are less likely to heal. A wound bed should be red or pink.

Keep the dressing and the skin around it dry. Healthy tissue that gets too wet can soften, causing the wound to get bigger. Skin that looks white and soft is a reason to have your dressing routine reviewed.

When you report it, say whether the white is in the wound or on the skin around it.

Wound Wizard is general education and can’t assess your wound. Your own clinician is the right person to ask.

What we look at

  • Examining the wound bed and the surrounding skin separately
  • Judging whether the dressing is causing the change
  • Checking the blood flow in the area
  • Deciding whether debridement is needed

Sources

  1. Diabetes - foot ulcers — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000077.htm
  2. Venous ulcers - self-care — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000744.htm
  3. Wound Debridement — StatPearls, National Library of Medicine https://www.ncbi.nlm.nih.gov/books/NBK507882/