Martorell's Ulcer: Diagnostic and Therapeutic Challenge.
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.
Sector of Dermatology and Post-Graduation Course, University Hospital and School of Medicine, Federal University of Rio de Janeiro, Brazil.
Ana Paula Frade
AP
Lima Pinto
Sector of Rheumatology and Post-Graduation Course, University Hospital and School of Medicine, Federal University of Rio de Janeiro, Brazil.
Nelson Araújo
NA
Silva
Sector of Medical Clinics, Lourenço Jorge Municipal Hospital, Rio de Janeiro, Brazil.
Carolina Teixeira
CT
Osorio
Sector of Rheumatology and Post-Graduation Course, University Hospital and School of Medicine, Federal University of Rio de Janeiro, Brazil.
Lina Maria
LM
Rivera
Sector of Dermatology and Post-Graduation Course, University Hospital and School of Medicine, Federal University of Rio de Janeiro, Brazil ; Sector of Dermatology, University Hospital and School of Medicine, University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.
Sueli
S
Carneiro
Sector of Dermatology and Post-Graduation Course, University Hospital and School of Medicine, Federal University of Rio de Janeiro, Brazil.
Marcia
M
Ramos-E-Silva
Sector of Rheumatology and Post-Graduation Course, University Hospital and School of Medicine, Federal University of Rio de Janeiro, Brazil.
Blanca Elena Rios
BE
Gomes Bica
Hypertension; Hypertensive ulcer; Ischemia; Martorell's ulcer