Martorell Hypertensive Ischemic Leg Ulcer and Digital Auto-amputation in an Obese Young Male with Systolic Heart Failure: Case Report

Martorell Hypertensive Ischemic Leg Ulcers (HYTILU) are painful and rapidly enlarging lower extremity wounds associated with uncontrolled systemic hypertension. They are most commonly seen in women from the fifth to seventh decades of life. Here, we describe a unique case of HYTILU with digital autoamputation in an obese, hypertensive 27-year old male with concomitant systolic heart failure. This case serves to reinforce the importance of maintaining a high index of suspicion for this rare ulcer, as early recognition and diagnosis of HYTILU is key for the healing process that takes weeks and involves multiple modalities and disciplines.