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Arteriolosclerotic ulcer of Martorell
Author(s) -
Vuerstaek JDD,
Reeder SWI,
Henquet CJM,
Neumann HAM
Publication year - 2010
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/j.1468-3083.2009.03553.x
Subject(s) - medicine , etiology , leg ulcer , surgery , dermatology
In 1945, Martorell described ischaemic leg ulcers in patients with hypertension. He suggested that the ischaemic necrosis was secondary to a hypertensive arteriolar disease and referred to them as ‘hypertensive ischaemic ulcers’. In recent years, the specific entity of these ulcers has been questioned. Others claim they have a much higher incidence, but presume the diagnosis is frequently missed. Almost 900 cases of Martorell’s ulcers have been reported in literature since the first description. A systematic review and comprehensive search of literature (evidence‐based) was needed to characterize this type of ulcer. Based on aetiology and histopathology, it seems to be justified to maintain the name ‘arteriolosclerotic ulcer of Martorell’. 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. 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 particular type of vascular leg ulcer.