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CASE REPORT
Year : 2019  |  Volume : 17  |  Issue : 3  |  Page : 80-84

A rare case of digital ischemia and gangrene


1 Department of Internal Medicine and Rheumatology, Lakeshore Hospital and Research Centre, Kochi, Kerala, India
2 Department of Radiology, Lakeshore Hospital and Research Centre, Kochi, Kerala, India
3 Department of Pathology, Lakeshore Hospital and Research Centre, Kochi, Kerala, India

Correspondence Address:
Dr. Muhammed Jasim Abdul Jalal
Department of Internal Medicine and Rheumatology, Lakeshore Hospital and Research Centre, Nettoor P.O., Maradu, NH-47 Byepass, Kochi - 682 040, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cmi.cmi_15_19

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Granulomatosis with polyangiitis (GPA) is a small-to-medium vessel vasculitis, which affects multiple organs. We describe a patient with GPA who initially presented with multiple ischemic toes. The diagnosis was supported by a positive c-ANCA (anti-neutrophil cytoplasmic antibody). The involvement of digital arteries in this condition is very unusual, and only a few cases have been reported so far.


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