Mr. Bell is a 62-year-old male who presents with a chief com…
Mr. Bell is a 62-year-old male who presents with a chief complaint of “pain in my calves”. He states he first noticed these symptoms approximately three months earlier. His pain occurs while walking and resolves within minutes with rest. His history is significant for a 50-pack-year history of smoking. His lower extremity exam reveals a decrease in hair growth below the knees as well as shiny appearing skin. Mr. Bell’s findings are most consistent with: