View larger version (107K):
[in this window]
[in a new window]
|
Figure 1. A 35-year-old man who had smoked two packs of cigarettes per day for 20 years presented with necrosis of the ends of the middle finger and the thumb of the left hand. These lesions had been preceded for three to four years by burning sensations and bluish discoloration of the fingers and toes on exposure to cold. Brachial pulses were only slightly diminished, but radial pulses were markedly diminished. The results of all laboratory studies were normal. The patient stopped smoking, and two months later, the fingers were better perfused, though he had lost the distal portions . . . [Full Text of this Article] |
Previous
