Martorell’s arteriolosclerotic ulcer
An extremely painful ulcer often located on the lower limbs, caused by long-standing poorly controlled hypertension.
Sclerosis of the intimal layer (intima) of the vascular endothelium
Thickening of the muscular layer (media)
Reversal of the lumen-to-wall ratio, meaning the vascular wall is thickened relative to a small lumen.
Martorell’s arteriolosclerotic ulcer
Sclerosis of the intimal layer of small vessels
The appearance of the intimal layer becomes hyalinized (pinkish)
Martorell’s arteriolosclerotic ulcer
LEGEND
Sclerosis of the intimal layer (intima)
Thickening of the muscular layer (media)
Reversal of the lumen-to-wall ratio, meaning the vascular wall is thickened relative to a small lumen.
Calcification of the muscular layer (media) in 30 to 50% of cases
