Hypertensive Ulceration of Lower Extremity (Martorell's Ulcer)

Gender of the patient

Age of the patient

Did the lesion start as a relatively superficial skin ulcer?

Does the opposite leg show a symmetrical lesion (ulcer or pigmented area)?

Does the lesion show episodic and irregular extension at the wound edges?

Have satellite lesions developed?

Does the patient have a history of either poorly controlled or long-standing hypertension?

Did the ulcer appear after a minor trauma?

Does the patient report moderate to severe pain associated with the lesion?

Is the ulcer is refractory to standard ulcer therapies?

Does the ulcer slowly heal if the hypertension can be controlled?

Does biopsy of the ulcer wall show hyalinization and thickening of the media in arterioles?

Is there another diagnosis that can explain all of the finding better?