A Painful, Discolored Lower Leg

A patient with diabetes presents with a 4-month history of painful, progressive gangrene of the right leg. Explore the diagnosis based on a very low ABI.

Ischemic gangrene


This patient had diabetes. What is the diagnosis?

What is the most likely diagnosis?

Ichthyosis
Ischemic gangrene
Necrobiosis lipoidica diabeticorum
Phlegmasia cerulea dolens
Pyoderma gangrenosum

Ankle-Brachial Index, Diabetes Mellitus, Ischemic gangrene, Limb Ischemia, Peripheral Artery Disease

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