PMC8519709_01
Patient's hand on initial presentation.
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fig1
Physical examination showed palpable purpura and extensive gangrene affecting bilateral upper and lower extremities (Figures 1 and 2).
Patient's foot on initial presentation.
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fig2
Physical examination showed palpable purpura and extensive gangrene affecting bilateral upper and lower extremities (Figures 1 and 2).
Progression of gangrene 10 days after initial presentation.
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fig3
Plasmapheresis was initiated; however, gangrene continued to progressively worsen despite it (Figures 3 and 4).
Bilateral gangrenous lower extremities 10 days after initial presentation.
CRIHEP2021-8244432.004.jpg
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fig4
Plasmapheresis was initiated; however, gangrene continued to progressively worsen despite it (Figures 3 and 4).