Martorell hypertensive ischemic ulcer can be a real clinical and therapeutic challenge. Hiperbaric oxigenotherapy in treatment of martorell s ulcer. Based on aetiology and histopathology, it seems to be justified to maintain the name arteriolosclerotic ulcer of martorell. Early skin grafting has been suggested as an effective treatment to enhance pain. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. It was first identified by the spanish cardiologist fernando martorell in 1945, who referred to the ulcers as hypertensive ischaemic ulcers. Arteriolosclerotic ulcer of martorell, journal of the. The diagnosis is clinical and mostly belated, following exclusion of other causes. Pdf martorells ulcer is an uncommon ischemic and extremely painful lesion located in the distal portion of the lower limb. Hypertensive ulcer was described in 1945 by marteorell as a complication of severe systemic arterial hypertension. Martorell hypertensive ischemic ulcer successfully treated. Martorell s ulcer is a painful ulceration of the lower leg associated with diastolic arterial hypertension.
Objectives to better define the diagnosis and treatment of martorell hypertensive ischemic leg ulcer hytilu and to compare martorell hytilu with calciphylaxis calcific uremic arteriolopathy and nonuremic forms of calciphylaxis design retrospective study from 1999 through 2007 setting department of dermatology, university hospital of zurich, zurich, switzerland. Access to society journal content varies across our titles. Request pdf arteriolosclerotic ulcer of martorell in 1945, martorell described ischaemic leg ulcers in patients with hypertension. Martorell s ulcer is an uncommon ischemic and extremely painful lesion located in the distal portion of the lower limb, resulting from severe systemic and poorly controlled hypertension.
Ediciones b y p, calle calabria, 66 al 76, barcelona, spain, 1953 show all authors. We conclude that the arteriolosclerotic ulcer of martorell is a specific entity with its own clinical and histological diagnostic. Fares boufakhreddine heals martorell s ulcers, a rare disease of the legs. It is common in women between 50 and 70 years of age. Hyperteivsive ulcer of the leg1 fernando martorell, 1950. It is characterized by single or multiple small homogeneous, symmetrical lesions, most commonly located on the anterolateral aspect of the lower leg. Controversy exists regarding both the underlying triggers of the disease and the type of treatment that should be established.
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