A Late Presentation of Hand Pain with Skin Changes.

MedStar author(s):
Citation: Journal of Cutaneous & Aestheic Surgery. 13(2):178-180, 2020 Apr-Jun.PMID: 32792783Institution: MedStar Medical GroupForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2020ISSN:
  • 0974-2077
Name of journal: Journal of cutaneous and aesthetic surgeryAbstract: 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. Copyright: (c) 2020 Journal of Cutaneous and Aesthetic Surgery.All authors: Kleiber GM, Marji FPFiscal year: FY2021Digital Object Identifier: Date added to catalog: 2020-09-02
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Journal Article MedStar Authors Catalog Article 32792783 Available 32792783

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. Copyright: (c) 2020 Journal of Cutaneous and Aesthetic Surgery.

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