PMC5933482_01
Images of fingers/hands. Red arrows, bilateral index fingers demonstrating cyanosis, digital ischemia, and necrosis. Box, remaining digits demonstrating cyanosis and distal erythema.
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Examination revealed bilateral necrotic index fingers (Fig. 1).
Digit-arm indices. Digit-arm arterial Doppler tracings and indices demonstrating loss of arterial flow to the bilateral index fingers (second digit).
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Arterial Doppler studies showed immeasurable digit/arm indices (Fig. 2).