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Wounds. 2018 Feb;30(2):E9-E12.

Martorell Hypertensive Ischemic Ulcer Successfully Treated With Punch Skin Grafting.

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Department of Dermatology, Hospital Universitario Infanta Leonor, Madrid, Spain.
Centro de Especialidades Vicente Soldevilla, Hospital Virgen de la Torre, Madrid, Spain.
Hospital Universitario de Fuenlabrada, Madrid, Spain; and 4Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Hospital General Universitario Gregorio Marañón, Madrid, Spain.


Martorell hypertensive ischemic ulcer can be a real clinical and therapeutic challenge. Controversy exists regarding both the underlying triggers of the disease and the type of treatment that should be established. Early skin grafting has been suggested as an effective treatment to enhance pain reduction and wound healing in these patients. The authors present the case of a 68-year-old woman with well-controlled hypertension and diabetes who developed extremely painful, rapidly progressing bilateral ulcers on the distal aspect of her legs. Without previous surgical debridement, the lesions were covered with punch grafts. Pain and necrotic progression were immediately controlled and complete epithelialization was achieved in 7 weeks.

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