Two cases of hypertensive Martorell’s leg ulcers

Bonfiglio, B; Dipaola, G; Navarra, Giuseppe

doi:10.1186/1471-2318-10-s1-a44

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“…The stigma of MS is the increasing pain, becoming extremely severe at night 4 . Most patients are traditionally diagnosed with "trophic ulcer" and treated by standard medications, which leads to ambiguous results 5 . The majority of authors agree that the main pathogenetic factor in MS is an angiospasm and a stenosis of hemo-microcirculatory vessels, causing endothelial proliferation and subendothelial hyalinosis in hypertrophied arterioles 6 .…”

Section: Introductionmentioning

confidence: 99%

Hypertensive ulcer of lower extremity (Martorell's syndrome): clinical case with the treatment improvement

Igor

Vasyl

Andrii

et al. 2017

Bangladesh J Med Sci

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Introduction. Martorell's syndrome (MS) is a rare disease associated with chronic progressive hypertension which complicates ulcer defects on the extremities. It requests individual approach to treatment with antihypertensive medications, which help to reduce pathogenesis of the ulceration development. Therefore the aim of this study was to find new treatment methods of this disease. Case presentation. A 83-year-old female Ukrainian patient presented with an ulcer on the right calf, which was extremely painful at night. After all examination it was diagnosed: stage 2 hypertension, high risk, Martorell's syndrome, right lower limb trophic ulcer of the hypertonic genesis. For the treatment of MS we used the combination therapy, which included tissue suturing on the whole area of the ulcer and auto-dermoplasty with PRP applications. After that was noted intense regenerative processes and recovery of the patient. Conclusions. Chronic leg ulcers are rarely caused by Martorell's syndrome. It requires the complex approach to the treatment under obligatory antihypertensive therapy with its further prolongation. The complex therapy improved by the platelet-rich auto plasma activates the therapeutic effect, which results in intensive healing of the ulcer and faster improvement in pain relief. The platelet-rich auto plasma may become an economic method of treatment the ulcers of any genesis.

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Section: Introductionmentioning

confidence: 99%