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.
Active female with severe venous claudication 9 years after iliofemoral deep venous thrombosis.
Presentation at Charring Cross Meeting London 2015
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.