TY - CHAP M1 - Book, Section TI - FROSTBITE A1 - Mintz, Ari J. A1 - Mintz, Bruce A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. PY - 2015 T2 - Color Atlas and Synopsis of Vascular Diseases AB - A 48-year-old homeless man presented to the emergency department with bilateral black toes on a subzero temperature morning in January. He states that initially he felt a tingling sensation followed by clumsiness, which led to a total loss of sensation of both feet. The patient's history included tobacco smoking as well as poorly controlled diabetes mellitus. Examination revealed bilateral segments of profound, dark distal eschar, along with bullous erythema of the toes. A dusky area of mid foot tissue demarcation was apparent with segmental dark ischemic borders. Immediate amputation of the left leg was undertaken and the right foot was given a chance to demarcate over the ensuing days. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/28 UR - accesscardiology.mhmedical.com/content.aspx?aid=1105292716 ER -