Published: 16 May 2019
Author(s): Vishal Thakur, Dipankar De
Issue: May 2019

A man in his fifties presented with 1-year history of burning sensation and pain in both feet with dusky erythema on both dorsal feet and soles with no associated systemic complaint. Cutaneous examination revealed symmetric well to ill-defined blanchable dusky erythema on dorsum of feet involving toes and soles, with slight elevation of temperature of overlying skin (Fig. 1). Peripheral pulses including dorsalis pedis, anterior tibial and posterior tibial artery were palpable and sensory examination were normal.

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The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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