RT Book, Section A1 Sattar, Adil A1 Kolluri, Raghu A2 Dean, Steven M. A2 Satiani, Bhagwan A2 Abraham, William T. SR Print(0) ID 1105292791 T1 IMMERSION FOOT SYNDROME T2 Color Atlas and Synopsis of Vascular Diseases YR 2015 FD 2015 PB McGraw-Hill Medical PP New York, NY SN 9780071749541 LK accesssurgery.mhmedical.com/content.aspx?aid=1105292791 RD 2024/03/29 AB A 43-year-old woman presented with severe pain, burning, and swelling of the feet. Her symptoms began 2 days prior after returning from a 7-day camping and hiking trip. She reported that her boots were soaked during this period. Examination revealed that both feet were swollen, acrocyanotic, and cold with decreased capillary refill in all 10 toes; pedal pulses were palpable bilaterally. There were dried up blisters in the bilateral feet and ankles (Figure 88-1). Arterial duplex documented normal posterior tibial and dorsalis pedis arteries. A diagnosis of bilateral immersion foot was made. She was initially treated with bed rest, intravenous antibiotics, elevation, and hydration. Her swelling improved over the next few weeks, but she continued to have symptoms of pain and discomfort which were treated with gabapentin therapy. There was no tissue or limb loss due to early detection and treatment.