CONTINUING MEDICAL EDUCATION ΣYNEXIZOMENH IATPIKH EKΠAIΔEYΣH

of necrotizing perineal infection (Fournier's disease) 10 years ago, and had undergone cholecystectomy due to cholelithiasis 6 years ago. Due to chronic numbness and paresthesia in his lower extremities he had been evaluated by a vascular surgeon who ordered an abdominal CT scan. Diffuse atheromatosis of all the main abdominal arteries was demonstrated and a sonographic examination of the lower extremity arterial system showed a profound decrease in the blood flow of both posterior tibial arteries. He reported a long-term alcohol abuse and a 60 pack year smoking history. He was under treatment with felodipine-ramipril (Triacor ® ), propafenone hydrochloride (Rythmonorm ® ), amiloride (Frumil ® ), clopidogrel bisulfate (Plavix