Journal of Cutaneous and Aesthetic Surgery
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QUIZ
Year : 2020  |  Volume : 13  |  Issue : 2  |  Page : 178-180

A late presentation of hand pain with skin changes


1 Department of Plastic and Reconstructive Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
2 Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC, USA

Correspondence Address:
Fady P Marji
Department of Plastic and Reconstructive Surgery, University of Pittsburgh, One Children’s Hospital Drive, 4401 Penn Avenue Floor 3, Pittsburgh PA.
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCAS.JCAS_162_19

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A middle-aged homeless man presented with ongoing left-hand pain and worsening cutaneous phalangeal color changes. On examination, digital ischemia was observed with associated dry gangrene. Doppler examination showed impaired distal arterial flow. Angiography showed irregular digital perfusion. The patient later provided vital information to secure the diagnosis without further clinical workup. This quiz discusses the presentation, differential diagnosis, and treatment of a rare clinical scenario.


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