Painful, Discolored Toes With Sores in a 43-Year-Old Woman

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Painful, Discolored Toes With Sores in a 43-Year-Old Woman

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Colin C. Edgerton, MD

April 02, 2021

Editor’s Note:

se Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are noneless important to accurately recognize. Test your diagnostic and trment skills using following patient scenario and corresponding questions. If you have a se you would like to suggest for a future se Challenge, plee contact us.

A 43-year-old woman presents to rheumatology clinic with a 1-month history of painful, discolored toes. She first noted redness and itching at tips of her toes about 2 months before presentation. itching progressed to tenderness, followed by formation of “sores” over affected are. She notes that toes have been sensitive to cold, particularly when she leaves house and is exposed to wear. She h not had any trauma to her feet, recent illnesses, or recent surgil interventions.

patient h never had similar symptoms in pt. She feels orwise well and h not had any fever, joint pain, gtrointestinal symptoms, or weight changes. Her current meditions include over--counter fish oil tablets and a ily multivitamin. She does not smoke tobacco and s three glses of wine weekly.

Medspe © 2021 
MD, LLC

Any views expressed ae are author’s own and do not necessarily reflect views of MD or Medspe.

Cite this: Colin C. Edgerton. Painful, Discolored Toes With Sores in a 43-Year-Old Woman – Medspe – Apr 02, 2021.

Clinil sistant Professor, Department of Medicine, Medil of Georgia, Augusta, Georgia; Chief of Rheumatology Service, Eisenhower Army Medil Center, Fort Gordon, Georgia

Disclosure: Colin C. Edgerton, MD, h disclosed no relevant financial relationships.

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Painful, Discolored Toes With Sores in a 43-Year-Old Woman


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