PMC6779334_01
Skin findings before and after epidural treatment.. A./B. Images of patient's lower extremities at presentation. Note the ulcers on her feet from extended soaking in ice-water. C. Thighs have a rash consistent with livedo reticularis from heating pads to counteract the pain of soaking feet in ice-water. D.-F. Feet show dramatic decrease in erythema with healthy granulation tissue forming in bed of ulcers after treatment with epidural.
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F1
Numerous ulcers were present on the dorsum of the feet (Figure 1a, and Figure 1b). She also had secondary tissue damage from both the hot packs on her thighs and the cold baths, resulting in a livedo reticularis rash (Figure 1c). The feet were normothermic, the allodynia had been resolved, and the chronic ulcers in her feet started to heal with healthy granulation tissue noted (Figure 1d and Figure 1f).