Page 15 - Virtual Vascular Vol 6
P. 15
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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