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April 2001, Volume 15, Number 4, Pages 279-283
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Case Report
Martorell's hypertensive leg ulcer: case report and concise review of the literature
J W Graves1, J C Morris2 and S G Sheps1

1Divisions of Hypertension, Mayo Clinic and Mayo Foundation, 200 First Street SW, Rochester, MN 55905, USA

2Divisions of Endocrinology, Mayo Clinic and Mayo Foundation, 200 First Street SW, Rochester, MN 55905, USA

Correspondence to: Dr John W Graves, Division of Hypertension, Mayo Clinic and Mayo Foundation, 200 First Street SW, Rochester, MN 55905, USA. E-mail: Graves.john@mayo.edu

Abstract

Hypertensive leg ulcers (Martorell's ulcers) are a unique form of lower extremity ischaemic leg ulcer. First described by Martorell, and Hines and Farber in the 1940s, these ulcers are defined by pain disproportionate to the size of the ulcer, specific location on the lower extremity, female-to-male predominance, association with long-standing, often poorly, controlled hypertension, and healing response to specific antihypertensive agents. We present a case of Martorell's hypertensive ischaemic leg ulcer and a concise review of the 104 previous cases in the world's English literature. Hypertensive ischaemic leg ulcers will be more commonly recognised with a renewed appreciation of the existence of this clinical entity.

Journal of Human Hypertension (2001) 15, 279-283

Keywords

Martorell's ulcer; hypertensive ischaemic ulcer; lower extremity ulcer

Received 10 January 2000; revised 20 June 2000; accepted 19 September 2000
April 2001, Volume 15, Number 4, Pages 279-283
Table of contents    Previous  Abstract  Next   Article  PDF
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