case_images: PMC8519709_01
case_images: Patient's hand on initial presentation.
case_images: CRIHEP2021-8244432.001.jpg
case_images: PMC8519709_01_CRIHEP2021-8244432.001.jpg
case_images: fig1
case_images: Physical examination showed palpable purpura and extensive gangrene affecting bilateral upper and lower extremities (Figures 1 and 2).
case_images: Patient's foot on initial presentation.
case_images: CRIHEP2021-8244432.002.jpg
case_images: PMC8519709_01_CRIHEP2021-8244432.002.jpg
case_images: fig2
case_images: Physical examination showed palpable purpura and extensive gangrene affecting bilateral upper and lower extremities (Figures 1 and 2).
case_images: Progression of gangrene 10 days after initial presentation.
case_images: CRIHEP2021-8244432.003.jpg
case_images: PMC8519709_01_CRIHEP2021-8244432.003.jpg
case_images: fig3
case_images: Plasmapheresis was initiated; however, gangrene continued to progressively worsen despite it (Figures 3 and 4).
case_images: Bilateral gangrenous lower extremities 10 days after initial presentation.
case_images: CRIHEP2021-8244432.004.jpg
case_images: PMC8519709_01_CRIHEP2021-8244432.004.jpg
case_images: fig4
case_images: Plasmapheresis was initiated; however, gangrene continued to progressively worsen despite it (Figures 3 and 4).