Page 47 - Virtual Vascular Vol 10

General examination showed this patient has severe rheumatoid arthritis. Patients with
Rheumatoid Ulcer rheumatologically disorders often has vasculitis, resulting in peripheral arterial occlusive

disease. Treatment involves control of rheumatoid disease, keeping warm, anti-platelet
agents, angioplasty or bypass surgery.

Ischaemic

ulcer in the

dorsal aspect

of the right big

toe, together
with skin

changes and

trophic nails.

This patient presented with an ulcer of the right big toe. The dorsalis pedis pulse was not
46 47
palpable on the right side.