An unusual case of distal necrosis. Looking for the truth

Published: 29 August 2017
Author(s): Solís Marquínez Marta Nataya, Helguera Amezua Cristina, Trapiella Martínez Luis
Issue: August 2017
Section: Internal Medicine Flashcard

A 47year-old man presented with a history of pain and necrosis on the distal phalange of the third finger on the right hand. He also presented subungual splinter haemorrhages and eritroviolaceous prenecrotic lesions in finger pads of both hands but not in other areas of the body (Fig. 1A–C). The rest of the physical examination was normal. He denied consuming illicit drugs or herbalism products. There was no history of Raynaud syndrome, ophthalmologic symptoms, oral or genital aphthosis, photosensitivity, dyspnoea, constitutional syndrome or fever.