Painful Leg Ulceration in a Poorly Controlled Hypertensive Patient: A Case Report of Martorell Ulcer

Case Reports in Dermatology
Harsimran Kaur MalhiSujith Prasad Kumarasinghe

Abstract

Martorell ulcer is a form of lower limb ulceration, preceded by a small area of excruciating pain. It often appears as a solitary lesion on the outer aspect of the lower limb, and is primarily associated with poorly controlled hypertension and diabetes. Treatment of the ulcer involves awareness and early correct diagnosis, adequate control of blood pressure, management of infection, and wound care. We describe a 77-year-old diabetic and hypertensive woman presenting with excruciating pain in her right lower lateral leg leading to a necrotic ulcer. Serial photographs of the evolution of the lesion and eventual healing of the ulcer are presented.

References

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Jan 24, 2004·The Journal of Dermatology·Girish MunavalliJack L Arbiser
Feb 2, 2010·Journal of the European Academy of Dermatology and Venereology : JEADV·J D D VuerstaekH A M Neumann
Sep 22, 2010·Archives of Dermatology·Jürg HafnerLars E French
Nov 16, 2012·Advances in Skin & Wound Care·Afsaneh AlaviR Gary Sibbald
Sep 10, 2015·Case Reports in Dermatology·Ana Paula Frade Lima PintoBlanca Elena Rios Gomes Bica

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