Martorell ulcer: chronic wound management and rehabilitation
Bibliographic record
Abstract
Mark Mansour,1 Afsaneh Alavi21Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada; 2Division of Dermatology, Department of Medicine, Women’s College Hospital, University of Toronto, Toronto, Ontario, CanadaAbstract: Martorell hypertensive ischemic leg ulcers (HYTILU) are a rare lower extremity wound which exclusively occurs in patients with long-standing hypertension. Its pathophysiology is due to local skin infarctions caused by arteriolosclerosis of the dermis and subcutis. The differential diagnosis for a lower extremity wound is broad; however, Martorell HYTILU must primarily be distinguished from calciphylaxis and pyoderma gangrenosum. Diagnosis is accomplished by its clinical presentation, traditionally on the dorsolateral leg, its comorbidity with chronic arterial hypertension, and findings of arteriolosclerosis on histopathology. Given its rarity, there has been very little research conducted on interventions for its management and rehabilitation. Treatment primarily involves analgesia and surgical intervention usually with split-thickness skin grafting. The current review aims to summarize the current evidence on Martorell HYTILU and provide recommendations on its management.Keywords: Martorell ulcer, hypertensive ischemic leg ulcer, atypical ulcer, wound healing
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".