Martorell's Ulcer: Diagnostic and Therapeutic Challenge

被引:11
作者
Frade Lima Pinto, Ana Paula [1 ,2 ,3 ]
Silva, Nelson Araujo, Jr. [2 ,3 ,4 ]
Osorio, Carolina Teixeira [5 ]
Rivera, Lina Maria [2 ,3 ,4 ]
Carneiro, Sueli [1 ,2 ,3 ,6 ,7 ]
Ramos-e-Silva, Marcia [1 ,2 ,3 ]
Rios Gomes Bica, Blanca Elena [2 ,3 ,4 ]
机构
[1] Univ Fed Rio de Janeiro, Univ Hosp, Dermatol Sect, Rio De Janeiro, Brazil
[2] Univ Fed Rio de Janeiro, Univ Hosp, Postgrad Course, Rio De Janeiro, Brazil
[3] Univ Fed Rio de Janeiro, Sch Med, Rio De Janeiro, Brazil
[4] Univ Fed Rio de Janeiro, Univ Hosp, Sect Rheumatol, Rio De Janeiro, Brazil
[5] Lourenco Jorge Municipal Hosp, Sect Med Clin, Rio De Janeiro, Brazil
[6] Univ Estado Rio De Janeiro, Univ Hosp, Dermatol Sect, Rio De Janeiro, Brazil
[7] Univ Estado Rio De Janeiro, Sch Med, Rio De Janeiro, Brazil
关键词
Martorell's ulcer; Hypertensive ulcer; Hypertension; Ischemia;
D O I
10.1159/000430884
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
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. (C) 2015 S. Karger AG, Basel
引用
收藏
页码:199 / 206
页数:8
相关论文
共 22 条
[1]  
Atiyeh Bishara S., 2002, Current Pharmaceutical Biotechnology, V3, P179, DOI 10.2174/1389201023378283
[2]   Leg ulcer diagnosis and management [J].
Choucair, MM ;
Fivenson, DP .
DERMATOLOGIC CLINICS, 2001, 19 (04) :659-+
[3]  
Davison S, 2003, WOUNDS, V15, P208
[4]   MARTORELLS HYPERTENSIVE ISCHEMIC LEG ULCERS ARE SECONDARY TO AN INCREASE IN THE LOCAL VASCULAR-RESISTANCE [J].
DUNCAN, HJ ;
FARIS, IB .
JOURNAL OF VASCULAR SURGERY, 1985, 2 (04) :581-584
[5]   THE ARTERIOLES OF THE SKIN IN ESSENTIAL HYPERTENSION [J].
FARBER, EM ;
HINES, EA ;
MONTGOMERY, H ;
CRAIG, WM .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1947, 9 (06) :285-298
[6]  
Freire BM, 2006, AN BRAS DERMATOL, V81, P327
[7]   Hyperbaric oxygen: its uses, mechanisms of action and outcomes [J].
Gill, AL ;
Bell, CNA .
QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2004, 97 (07) :385-395
[8]   Martorell's hypertensive leg ulcer: case report and concise review of the literature [J].
Graves, JW ;
Morris, JC ;
Sheps, SG .
JOURNAL OF HUMAN HYPERTENSION, 2001, 15 (04) :279-283
[9]  
Haxthausen H, 1940, NORD MED, V8, P1663
[10]   ARTERIAL-HYPERTENSION CAUSING LEG ULCERS [J].
HENDERSON, CA ;
HIGHET, AS ;
LANE, SA ;
HALL, R .
CLINICAL AND EXPERIMENTAL DERMATOLOGY, 1995, 20 (02) :107-114