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.
Presentation at Charring Cross Meeting London 2015
55 year old female that underwent a skin biopsy with non healing of the biopsy site at 7 weeks.