case_images: PMC5046798_01
case_images: Showing dry wrinkled skin of both hand and feet with incipient gangrenous changes
case_images: ABR-5-154-g001.jpg
case_images: PMC5046798_01_ABR-5-154-g001.jpg
case_images: F1
case_images: He was complaining of severe pain along with the symmetric blackish discoloration of both hands and feet since last 2 days [Figure 1].
case_images: After 1-weeks of follow-up, changes in gangrenous area
case_images: ABR-5-154-g002.jpg
case_images: PMC5046798_01_ABR-5-154-g002.jpg
case_images: F2
case_images: Local examination revealed cold, dry, and wrinkled skin of both hands and feet, with a clear line of proximal demarcation, and incipient gangrenous changes [Figure 2]. Clear line of demarcation appeared on 5th day of admission [Figure 2], and surgical consultation was taken, and advised amputation but patient refused.
case_images: After 2 weeks of follow-up, necrotic changes with a clear line of proximal demarcation
case_images: ABR-5-154-g004.jpg
case_images: PMC5046798_01_ABR-5-154-g004.jpg
case_images: F3
case_images: At present, the patient is under follow-up treatment in medical outdoor [Figure 3].