Aug 01, 2010 based on aetiology and histopathology, it seems to be justified to maintain the name arteriolosclerotic ulcer of martorell. Pdf martorells ulcer is an uncommon ischemic and extremely painful lesion located in the distal portion of the. 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. We conclude that the arteriolosclerotic ulcer of martorell is a specific entity with its own clinical and histological diagnostic keys, wound management and preventive measures. Get a printable copy pdf file of the complete article 753k, or click on a page image below to browse page by page. It is characterized by single or multiple small homogeneous, symmetrical lesions, most commonly located on the anterolateral aspect of the lower leg. Punch grafting for the treatment of martorell hypertensive ischemic. Martorells 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. Pdf to better define the diagnosis and treatment of martorell hypertensive ischemic leg. Arteriolosclerotic ulcer of martorell, journal of the. Martorell hypertensive ischemic ulcer successfully treated. Early skin grafting has been suggested as an effective treatment to enhance pain. Agnello na uo assistenza anziani e centro demenza, distr.
Martorells ulcer is a painful ulceration of the lower leg associated with diastolic arterial hypertension. It is common in women between 50 and 70 years of age. In 1940 beschreef een deense dermatoloog ischemische ulcera als zeldzame complicatie van hypertensie. Mikroangiopathisches ulcus cruris ulcus hypertonikum martorell. Full text full text is available as a scanned copy of the original print version. Hyperteivsive ulcer of the leg1 fernando martorell, 1950. Zunehmend haufiger beobachten wir mikroangiopathische ulcera. The diagnosis is clinical and mostly belated, following exclusion of other causes. Valutazione clinica dello stato di salute ciro manzo ambulatorio di medicina interna e servizio di reumatologia, ex ospedale mariano lauro, s. Volume 28, issues 56, septemberdecember 2011, pages 2112. Aug 05, 2015 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. Access to society journal content varies across our titles.
It was first identified by the spanish cardiologist fernando martorell in 1945, who referred to the ulcers as hypertensive ischaemic ulcers. We conclude that the arteriolosclerotic ulcer of martorell is a specific entity with its own clinical and histological diagnostic keys. Based on aetiology and histopathology, it seems to be justified to maintain the name arteriolosclerotic ulcer of martorell. Martorell s ulcer is a painful ulceration of the lower leg associated with diastolic arterial hypertension. Simply select your manager software from the list below and click on download.
Links to pubmed are also available for selected references. Martorells ulcer is an uncommon ischemic and extremely painful lesion located in the distal portion of. 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. Martorell hypertensive ischemic leg ulcer hytilu is an ischemic lesion caused by the obstruction of small. If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. We introduce a set of criteria that may be used to facilitate diagnosing arteriolosclerotic ulcer of martorell as well as a flowchart that includes diagnosis, treatment and prevention of this. Generally, an ebook can be downloaded in five minutes or less. Zur atiologie des ulcus hypertonicum martorell gibt es. Martorell hypertensive ischemic ulcer can be a real clinical and therapeutic challenge.
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