Two cases of hypertensive Martorell’s leg ulcers
© Bonfiglio et al; licensee BioMed Central Ltd. 2010
Published: 19 May 2010
Martorell’s ulcer is also a type of ischaemic ulcer occurring in hypertensive patients. The main features of this lesion are the following: location on the lower antero-exterior surface of the lower two thirds of the leg; pain far more severe than is expected given the size of the ulcer; significant arterial or venous disease; female-to-male predominance, association with no-controlled hypertension . We describe two recent cases of hypertensive patients.
Materials and methods
A male 63 years old, smoker, with a ulceration on the lower-lateral surface of the right leg, sized 1x2cm and other satellite smaller lesion 1x0,4cm, covered by fibrinous exudates (see Figure 2). Ultrasound showed moderate arteriopathy but good peripheral flow. Blood pressure was 200/95mmHg on the left arm and 190/85mHg on the right. Patient was treated, also, with combination ACE inhibitors and diuretics, pentoxifylline, mesoglicane, topic treatment with enzymatic debridment and promogran wound dressing. Follow up to 7,15,days showed normalization of pressure, no pain, 90% epithelialization of main ulcer and closure of the smaller.
Results and conclusions
Martorell’s ulcers are associated with long-standing or poorly controlled hypertension. Antihypertensive therapy controlling arterial pressure and topic treatment result in the resolution of these very painful lesions .
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