case_images: PMC10917479_01
case_images: Significant deep blush discoloration of index, middle and ring fingers few hours from the onset from the event.
case_images: CRIPE2024-2255756.001.jpg
case_images: PMC10917479_01_CRIPE2024-2255756.001.jpg
case_images: fig1
case_images: At the age of 6 days, she developed gradual mild bluish discoloration affecting mainly the second, third, and fourth fingers of her right hand, and despite initial management with warm compression and other conservative steps, the discoloration persisted and even worsened (Figure 1).
case_images: Residual distal ischemic changes of the affected index and middle fingers with complete recovery of the ring fingers.
case_images: CRIPE2024-2255756.002.jpg
case_images: PMC10917479_01_CRIPE2024-2255756.002.jpg
case_images: fig2
case_images: Within a few hours after the application of the topical nitroglycerine patch, a noticeable gradual improvement was observed until the ischemic changes markedly improved over the next 5-7 days (Figure 2).
case_images: Marked resolution of the ischemic changes of affected fingers 4 weeks later.
case_images: CRIPE2024-2255756.003.jpg
case_images: PMC10917479_01_CRIPE2024-2255756.003.jpg
case_images: fig3
case_images: The affected hand fingers ischemic changes continued to improve until complete resolution 4 weeks later (Figure 3).