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Case Reports
. 2017 Apr 7;9(1):95-102.
doi: 10.1159/000468977. eCollection 2017 Jan-Apr.

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

Harsimran Kaur Malhi  1 , Ali Didan  2 , Stefan Ponosh  3 , Sujith Prasad Kumarasinghe  2
Affiliations
Case Reports

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

Harsimran Kaur Malhi et al. Case Rep Dermatol. .

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.

Keywords: Hypertensive ulcer; Martorell ulcer.

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Figures

Fig. 1
Fig. 1
Evolving ischaemic ulcer before the breakdown of the epidermis at the outer region of the right lower limb (day 1).
Fig. 2
Fig. 2
Areas of necrosis and pus (day 5 after onset).
Fig. 3
Fig. 3
Patchy areas of soft tissue healing (day 14 after onset).
Fig. 4
Fig. 4
Well-healing ulcer after surgical debridement (day 18 after onset).
Fig. 5
Fig. 5
Formation of pink granulation tissue (day 44 after onset).
Fig. 6
Fig. 6
After the split thickness graft (day 50 after onset).
Fig. 7
Fig. 7
Healed wound (October 2014).
See this image and copyright information in PMC

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