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leg ulcers, Martorell hypertensive ischemic leg ulcers



  1. Alavi, Afsaneh MD, FRCPC
  2. Mayer, Dieter MD
  3. Hafner, Jurg MD
  4. Sibbald, R. Gary BSc, MD, MEd, FRCPC(Med Derm), MACP, FAAD, MAPWCA


PURPOSE: To enhance the learner's competence with knowledge of care for patients with Martorell hypertensive ischemic leg ulcers.


TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.


OBJECTIVES: After participating in this educational activity, the participant should be better able to:


1. Demonstrate knowledge of the pathogenesis of Martorell hypertensive ischemic leg ulcers (HYTILU) and differentiation of this ulcer from other causes of painful leg ulcers.


2. Apply current treatment recommendations for Martorell HYTILU to patient case scenarios.


ABSTRACT: Martorell hypertensive ischemic leg ulcer represents rapidly progressive and extremely painful ulcers that are frequently underdiagnosed. These occur most commonly on the lateral-dorsal calf and are associated with hypertension and diabetes. This article will synthesize a review of the literature for the accurate diagnosis and treatment of this painful debilitating condition.