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Wound Healing Prediction — SCE Dermatology MCQ

Instant feedback + full explanation. One question, done properly.

HardWound HealingWound Healing PredictionSCE Dermatology

An obese woman with long-standing hypertension and diabetes develops an exquisitely painful necrotic ulcer on the laterodorsal leg. Pulses and ankle–brachial pressure index are normal. Which diagnosis should be prioritised?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Martorell hypertensive ischaemic leg ulcer

Martorell hypertensive ischaemic ulcer is caused by subcutaneous arteriolosclerosis and typically produces pain out of proportion on the laterodorsal leg in people with hypertension and diabetes despite preserved large-vessel perfusion. A deep biopsy from an appropriate site helps distinguish it from inflammatory and thrombotic mimics.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines