![]() In Nigeria, the prevalence of PAD among persons with hypertension and type 2 diabetes mellitus range between 24.8%–41.8%, and 22.0%–52.5%,, ,, respectively. PAD is however not uncommon among persons with established cardiovascular risk factors, particularly among the elderly, smokers, and persons with type 2 diabetes mellitus. For the most part, PAD remains underdiagnosed, especially in the general population. Although PAD shares similar risk factors and mortality concerns with coronary artery disease and stroke, it receives less attention. PAD, together with stroke and coronary heart disease, make up the cardiovascular triad. Peripheral artery disease (PAD) is a noncommunicable disease of growing public health importance. Skin manifestations of peripheral artery disease: Prevalence and diagnostic utility. ![]() Keywords: Adults, diabetes, hypertension, peripheral artery disease, skin Reliance on the presence of skin changes for diagnosis of PAD may result in missed or delayed diagnosis because of its low sensitivity and positive predictive value. Conclusion: Among participants with PAD, the prevalence of skin manifestations of suggestive of PAD was 35.7%. The sensitivity, specificity, positive, and negative predictive values of the presence of skin manifestations as a diagnostic tool for PAD compared with low ABI was 35.7%, 86.1%, 56.5%, and 72.5%, respectively. The association between PAD and skin manifestations suggestive of PAD was significant ( χ 2 = 34.248, P < 0.001). Among participants with PAD, 65 (35.7%) had skin manifestations suggestive of PAD. Results: Of the 541 participants, 115 (21.3%) had skin changes suggestive of PAD, and 182 (33.6%) had low ABI < 0.9. A diagnosis of PAD was made if ABI < 0.9. Physical examination of the skin of the lower limbs for features suggestive of PAD and ankle-brachial index (ABI) were performed. Methods: This was a cross-sectional descriptive study of consecutive adults with hypertension and diabetes attending the consultant medical outpatient department, University of Benin Teaching Hospital, Benin-city, Nigeria. This paper aims to determine the prevalence and diagnostic value of skin manifestations of PAD. Objective: Literature on the skin manifestations of PAD is limited. Reliance on the presence of skin manifestations of chronic lower limb ischemia may result in clinical inertia in the diagnosis of PAD. Introduction: Peripheral artery disease (PAD) is a common but underdiagnosed arm of the cardiovascular triad.
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