Image Based Question – 72023

A 58 year old woman suffering from hypertension,presented with this condition.What is the most likely diagnosis?

A. Martorelle’s Ulcer

B. Marjolin Ulcer

C. Bazin Ulcer

D. Meleny’s Ulcer

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Correct Answer » A Explanation

Ans:A. Martorelle’s Ulcer.

Martorelle’s ulcer — hypertensive patients with atherosclerosis

Buruli ulcer(bairnsdale ulcer) — Mycobacterium ulcerans

Meleney’s ulcer — postoperative synergistic gangrene

Bazin’s ulcer — localized fat necrosis

Marjolin’s ulcer — chronic unresponsive ulcer developing to squamous cell carcinoma.

Martorell’s ulcer

• It is a painful ulceration of the lower leg associated with diastolic arterial hypertension.

• It is characterized by single or multiple small homogeneous, symmetrical lesions, most commonly located on the anterolateral aspect of the lower leg.

• The syndrome occurs predominantly in middle-aged women with poorly controlled hypertension in the form of skin ulcers on the anterolateral aspect of the lower legs. The pathophysiology of the Martorell ulcer is assumed to be related to hypertension-induced arteriole changes in the dermis.