Hypertensive ischaemic leg ulcer (Q86990): Difference between revisions

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Úlceras isquêmicas hipertensivas da perna (úlceras de Martorell) se manifestam como úlceras necróticas dolorosas tipicamente localizadas na face lateral da panturrilha, que são bilaterais em 50% dos casos. Histologicamente, há arteriolosclerose estenótica subcutânea. Todos os pacientes são hipertensos e mais da metade são diabéticos. A diferenciação do pioderma gangrenoso e da arteriolopatia calcificada é importante, pois tanto o prognóstico quanto o manejo são diferentes.
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Hypertensive ischaemic leg ulcers (Martorell ulcers) manifest as painful necrotic ulcers typically located on the lateral aspect of the calf, which in 50% of cases are bilateral. Histologically there is subcutaneous stenotic arteriolosclerosis. All patients are hypertensive and over half are diabetic. Differentiation from pyoderma gangrenosum and calcific arteriolopathy is important as both prognosis and management are different.

Revision as of 12:33, 15 August 2026

Hypertensive ischaemic leg ulcers (Martorell ulcers) manifest as painful necrotic ulcers typically located on the lateral aspect of the calf, which in 50% of cases are bilateral. Histologically there is subcutaneous stenotic arteriolosclerosis. All patients are hypertensive and over half are diabetic. Differentiation from pyoderma gangrenosum and calcific arteriolopathy is important as both prognosis and management are different.
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    Hypertensive ischaemic leg ulcer
    Hypertensive ischaemic leg ulcers (Martorell ulcers) manifest as painful necrotic ulcers typically located on the lateral aspect of the calf, which in 50% of cases are bilateral. Histologically there is subcutaneous stenotic arteriolosclerosis. All patients are hypertensive and over half are diabetic. Differentiation from pyoderma gangrenosum and calcific arteriolopathy is important as both prognosis and management are different.

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