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Case Reports
. 2020 Jun;45(6):518-522.
doi: 10.1016/j.jhsa.2020.04.024. Epub 2020 Apr 30.

Digital Ischemia in COVID-19 Patients: Case Report

Kathryn Schultz  1 , Jennifer Moriatis Wolf  2
Affiliations
Case Reports

Digital Ischemia in COVID-19 Patients: Case Report

Kathryn Schultz et al. J Hand Surg Am. 2020 Jun.

Abstract

As coronavirus 2019 (COVID-19) continues to cause an immense burden on the global health care systems, it is crucial to understand the breadth of this disease process. Recent reports identified hypercoagulability in a subset of critically ill patients and extremity ischemia in an even smaller cohort. Because abnormal coagulation parameters and extremity ischemia have been shown to correlate with poor disease prognosis, understanding how to treat these patients is crucial. To better describe the identification and management of this phenomenon, we present 2 cases of critically ill patients with COVID-19 who developed fingertip ischemia while in the intensive care unit.

Keywords: COVID-19; critical care; digital ischemia; hand; hypercoagulability.

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Figures

Figure 1
Figure 1
Photograph of the volar hand showing subacute digital ischemia.
Figure 2
Figure 2
Photograph of the dorsoradial hand showing subacute digital ischemia.
See this image and copyright information in PMC

References

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