Martorell's Ulcer: Diagnostic and Therapeutic Challenge
نویسندگان
چکیده
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. It is common in women between 50 and 70 years of age. The diagnosis is clinical and mostly belated, following exclusion of other causes. The response to treatment takes time and is unsatisfactory. A combination of several drugs associated with surgery may be required for wound healing. The authors present a case of Martorell's hypertensive ulcer, with emphasis on the diagnostic and therapeutic difficulties.
منابع مشابه
Eponyms in medicine revisited Martorell's ulcer
Accepted 1 June 1995 Painful ulceration of the lower leg in association with diastolic arterial hypertension was first identified by Otzet Fernando Martorell' who referred to them as 'hypertensive ischaemic ulcers'. Whilst histology of these ulcers has traditionally indicated characteristic changes, in recent years the specificity of microvascular changes described by Martorell (and associates)...
متن کاملLumber sympathectomy in the treatment of hypertensive ischemic ulcers of the leg (Martorell's syndrome).
متن کامل
A benign gastric ulcer eroding into a splenic artery pseudoaneurysm presenting as a massive upper gastrointestinal bleed
Upper gastrointestinal (UGI) bleeding secondary to a ruptured splenic artery (SA) pseudoaneurysm into the stomach is a rare but a life-threatening condition. Owing to the low prevalence, it remains a diagnostic and therapeutic challenge. A frail 77-year-old Caucasian female presented with epigastric pain and hematemesis. Endoscopy was non-diagnostic for an etiology. She then underwent diagnosti...
متن کاملVulvar ulcer in a 15-year-old girl: can we recognize adverse drug reactions?
The presence of a vulvar ulcer in adolescent patients is a diagnostic challenge for physicians and a cause of signifi cant stress for parents and patients.1 Vulvar ulcer is considered a rare condition. However, physicians who specialize in the care of adolescents and children with vulvar pathology consider vulvar ulcers to be a frequent complaint.2 A structured approach facilitates the study of...
متن کاملPredictive value of Braden Scale in pressure ulcer occurrence in hospitalized patients
Introduction: Pressure ulcer is a painful, disabling process which has side effects such as decreased quality of life and increased treatment cost in treatment process. Therefore it is important to assess at risk patients using a reliable objective criteria in order to take preventive measures. Objective: The purpose of this study was to determine the predictive value of Braden scale in occurre...
متن کامل