94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout. The clinical findings of critical limb ischemia - dry scaly skin, nail changes, absent pulses and a punched out ulcer on the 2nd toe - were ignored. Popliteal artery occlusion treated with atherectomy.
Unusual cause of extremity pain in a diabetic patients
Active female with severe venous claudication 9 years after iliofemoral deep venous thrombosis.
46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.