PMC5046798_01
Showing dry wrinkled skin of both hand and feet with incipient gangrenous changes
ABR-5-154-g001.jpg
PMC5046798_01_ABR-5-154-g001.jpg
F1
He was complaining of severe pain along with the symmetric blackish discoloration of both hands and feet since last 2 days [Figure 1].
After 1-weeks of follow-up, changes in gangrenous area
ABR-5-154-g002.jpg
PMC5046798_01_ABR-5-154-g002.jpg
F2
Local examination revealed cold, dry, and wrinkled skin of both hands and feet, with a clear line of proximal demarcation, and incipient gangrenous changes [Figure 2]. Clear line of demarcation appeared on 5th day of admission [Figure 2], and surgical consultation was taken, and advised amputation but patient refused.
After 2 weeks of follow-up, necrotic changes with a clear line of proximal demarcation
ABR-5-154-g004.jpg
PMC5046798_01_ABR-5-154-g004.jpg
F3
At present, the patient is under follow-up treatment in medical outdoor [Figure 3].