Article Text
Emergency casebook
Occult injury in a diabetic
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A 55 year man presented to the accident and emergency department with a bluish discoloration of his left second toe. He did not complain of any pain but had noticed the colour change while in the bath the previous evening. Three years previously he had been recognised to have type 2 (non-insulin dependent) diabetes, and was subsequently managed with a combination of diet and oral hypoglycaemic agents. …