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Martorell's ulcer
Leg ulcer associated with hypertension
Leg ulcer associated with hypertension
| Field | Value |
|---|---|
| synonym | Necrotic angiodermatitis, hypertensive leg ulcer (HLU) |
| specialty | |
| differential | Cutaneous vasculitis, pyoderma gangrenosum, calciphylaxis |
Martorell's ulcer, also known as hypertensive leg ulcer or necrotic angiodermatitis, who referred to the ulcers as 'hypertensive ischaemic ulcers'.
It is characterized by single or multiple small homogeneous, symmetrical lesions, most commonly located on the anterolateral aspect of the lower leg. The pain associated with these lesions is often disproportionate to their size.
The syndrome occurs predominantly in middle-aged women with poorly controlled hypertension in the form of skin ulcers on the anterolateral aspect of the lower legs. The lesions initially appear as small, painful blisters, which may or may not be associated with trauma. The pathophysiology of the Martorell ulcer is assumed to be related to hypertension-induced arteriole changes in the dermis. The pain is often disproportionate, and the symptoms are not relieved by rest or elevation.
References
References
- (August 2011). "Topical Treatment of Hypertensive Leg Ulcers With Platelet-Derived Growth Factor-BB A Randomized Controlled Trial". Archives of Dermatology.
- (2020). "Martorell's hypertensive ischemic leg ulcer: a case report". Journal of the Egyptian Women's Dermatologic Society.
- Palou, J. (December 2023}} [[hypertension). "Lumbar Sympathectomy in the Treatment of Hypertensive Ischaemic Ulcers of the Leg (Martorell's Syndrome)". Circulation.
- (1984). "Fernando Martorell Otzet (1906-1984)". Angiologia.
- (1995). "Martorell's ulcer". Postgraduate Medical Journal.
- (1954). "Diastolic arterial hypertension and ulcer of the leg: Martorell's syndrome". Lancet.
- Davison, Steven. (2003). "Martorell's Ulcer Revisited". Wounds.
- (2011). "Use of a spinal Cord Stimulator for Treatment of Martorell Hypertensive Ulcer". Regional Anesthesia and Pain Medicine.
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