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A 29-year-old man had a one-month history of weakness of the left hand and painful paresthesias involving the radial half of his palm, as well as the palmar aspect of his thumb and index and middle fingers. These symptoms developed immediately after the patient underwent a total colectomy for ulcerative colitis, during which he was positioned supine with both arms extended and abducted to accommodate intravenous access. Examination revealed a bluish discoloration of the radial half of the palm, as well as the palmar side of the thumb and index and middle fingers. The skin in this distribution was dry . . . [Full Text of this Article] |
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