Man With Painless Erythematous Lesions on the Toes

A 58-year-old previously healthy man presented with a 1-day history of erythematous violaceous lesions on his left toes because of possible acute arterial occlusion. On physical examination, erythematous and purpuric lesions were observed on the first and second left toes (Figure 1). Doppler assessment of the dorsalis pedis pulse was normal. Radiograph of the left foot showed no fracture. The patient was advised about a suspected diagnosis of a millipede burn, and 6 hours later, he returned to the emergency department with some millipedes found in his home and work boot (Figure 2).

https://ift.tt/2Ah4P1s