Figure 2.

Photograph of painful livedo reticularis. Painful livedo reticularis on the sole of the right foot of a 57-year-old woman with diabetes, coronary artery disease, hyperlipidemia, stage V chronic kidney disease who underwent right carotid artery stenting for amaurosis fugax. The procedure was done by interventional radiology through a right femoral artery approach. The patient was placed on clopidogrel after stenting. Serum creatinine was 4.86 mg/dL on admission for the carotid artery stenting but dropped to baseline 3.74 mg/dL after the procedure. She presented a week later complaining of foot pain and was found to have tender petechial spots on the sole of her right foot. Creatinine was now 4.66 mg/dL, but with supportive care came back to baseline at 3.64 mg/dL on discharge. The picture is used with the patient’s permission.