Page 40 - Virtual Vascular Vol 15
P. 40
Diabetic Foot Toe Gangrene
A 62-year-old gentleman,
with a history of poorly
controlled diabetes for
more than 10 years,
presented with painful left
big toe gangrene. His
random glucose at
admission was above 18
mmol/l. There was no
sensation and movement
of the toe. His foot was
warm with strong dorsalis
pedis and posterior tibial
pulses.
In dry gangrene, there is a
clear line of demarcation.
Also associated with nail
changes and hair loss
An ulcer can be seen at the sole
of the left foot, which is a typical
location of arterial ulcers—
pressure dependent area
40
