A nonsmoking, man with no previous comorbidities, attended to us for painless inflammation and edema of left ankle and foot for at least 7 months, without fever or other joint swellings. There was no history of trauma. He was seen in the emergency department 2 months ago, he was diagnosed with cellulitis and oral antibiotics were prescribed. Physical examination revealed edematous, hyperemic leg and foot, with absent arch (mid-foot collapse), hyperpigmentation, and calluses at pressure points. HbA1c laboratory tests = 14, 9%. He had undiagnosed diabetes.
Patient Data
Age: | 65 years |
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Gender: | Male |