Type 2 diabetes mellitus (T2DM) is a medical condition that has reached pandemic proportions, causing a worldwide health crisis according to the International Diabetes Federation. It has long been established that this condition may give rise to several serious complications in the foot, including neuropathy and peripheral arterial disease, which may also coexist as neuroischaemia. 1 The latter are very vulnerable to injury, both from minor and major trauma, and may develop ulcerations, or even amputations. 2 Accordingly, the risk of amputations is very high, 2-4 calling for early identification of at-risk feet. 2,5,6 The need to improve foot screening to improve outcomes remains. In this context, medical infrared imaging, or thermography, has been widely recognized as a noninvasive, potential tool for detecting temperature difference in patients with diabetes in order to detect vascular and neuropathic changes. 7 Normal thermographic patterns have been established for healthy, normal diabetes mellitus, neuropathic, and neuroischemic feet. 8,9 However, we lack data on the utility of thermography in the assessment of neuroischemic ulcers. Should the presence of ulceration provide a distinctive thermal image pattern, this might prove useful as a 783910I JLXXX10.