PMC10163968_01
Cyanotic and ischaemic features of the extremities on admission.
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fig1
At physical examination, the extremities of both fingers and toes appeared symmetrically cyanotic and were extremely painful (Figure 1).
Evolution of peripheral necrosis (left foot, day 10).
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fig2
Unfortunately, there was a progression of dry skin necrosis of the toes, bilaterally (Figure 2), and a distal amputation will probably be required.