The late effects of diabetes mellitus can lead to pressure points and damage on the foot. The big toe of a right foot shows a malignant change spreading from the bottom of the foot to the metatarsus. A mal perforans is visible on the sole of the foot, a grade 3 pressure ulcer on the heel. A complete layer of skin is gone and the subcutaneous tissue is damaged to necrotic. Shown by the black colouring in the wound. Supplied without leg.
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