Page 14 - Virtual Vascular Vol 6

Careful inspection showed that the patient also had gangrenous patches in the toes,

indicative of peripheral arterial disease.

Chronic Ischemia: Atherosclerosis

Changes or malformation of the nail (onychodystrophy) can have due to trauma or

fungal infection (onychomycosis). Abnormal toe nails may also be an early marker of
peripheral arterial disease. This patient has abnormal chronic thickened toe nails
presented with cold feet.

Thickened

abnormal toe
nails in a patient

with peripheral

arterial disease

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