Middle aged male said "It wasn't like this yesterday." Subst | Figure 1

Middle aged male said "It wasn't like this yesterday." Substance abuse history. Isolated to (L) ankle/foot, no fever, stable vitals. Other foot was closer to size of my hand.

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65yo non-DM male PTC for painful feet. No travel out of the country and no contact with anyone who has been out of the country. PE was unremarkable but he had mild POP diffusely throughout the foot and pulses weren't palpable 2/2 swelling. What is your diagnosis?](https://app.figure1.com/case-detail/31a45c86-c674-4994-8315-a4c16cd58ebb)

painful legs bilaterally with pitting edema and nodules. What do you think this is?](https://app.figure1.com/case-detail/3b3bfc32-06f7-44b4-8d2a-f89c92571588)

This pt now he is 8 years. .his mother noticed that there is over growing of tissue on the dorsum of his right foot in small area since when he was 6 month. .and increase with time. .he visited many doctors. .lastly he was advised for amputation. ..is there other choice. ???](https://app.figure1.com/case-detail/473c48ae-b471-4191-b50c-5c1ecec13609)

A female from Haiti presented with progressive swelling of her right foot over years. An image of her foot is shown.](https://app.figure1.com/case-detail/5c09fd56-990c-4930-9215-bbc87f6c95ee)

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