RT Book, Section A1 Fontaine, Javier La A1 Shibuya, Naohiro A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164349279 T1 Ischemic Ulcer T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK dermatology.mhmedical.com/content.aspx?aid=1164349279 RD 2024/03/28 AB A 60-year-old woman with uncontrolled type 2 diabetes, hypercholesterolemia, and tobacco use presented with a 2-month history of a nonhealing ulceration on her left foot (Figure 219-1). She believes this started as a callus that peeled off. She presented with the ulcer, loss of protective sensation, and a nonpalpable posterior tibial pulse. She began treatment in a wound care center without any success. Noninvasive arterial studies showed severe vascular disease and thus, she underwent revascularization. While in the hospital, she quit smoking and gained control of her diabetes. Her ulcer healed, and she continues to take her diabetes medications and no longer smokes.