PMC3318675_01
Ischemic discoloration of left small toe two days after treatment.
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fig1
In the examination of his extremities, he showed ischemic changes as cold feet with absent dorsalis pedis and posterior tibialis pulses bilaterally along with the ischemic bluish discoloration of small toe at left foot (Figure 1).
Superficial phlebitis of right shin.
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He also showed typical superficial thrombophlebitis on anteromedial aspect of his right arm and shin (Figure 2).
MR angiogram showing bilateral anterior and posterior tibial artery occlusion with some collateral vessels.
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Magnetic resonance angiography (MRA) was consistent with bilateral anterior and posterior tibialis artery occlusion (Figure 3).