RT Book, Section
A1 Kurklinsky, Andrew K.
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105292757
T1 PERNIO
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesssurgery.mhmedical.com/content.aspx?aid=1105292757
RD 2024/04/19
AB A  68-year-old  woman  from  Idaho  presented  in  February  with  complaints  of  burning,  painful  reddish-blue  skin  changes  in  four  of  her  right  and  three  of  her  left  toes.  These  changes  have  recurred  for  the  past  3  years  appearing  in  the  fall  and  resolving  in  the  spring;  specifically,  skin  changes  are  absent  during  the  warmer  seasons.  Blistering  and  superficial  ulcerations  were  described  in  the  first  year  yet  they  were  subsequently  preventable  by  wearing  well-insulated  shoes  and  warm  socks.  She  has  no  peripheral  arterial  disease  (PAD)  and  underwent  extensive  workup,  which  was  unrevealing.  Her  serologies  were  negative  for  rheumatic  diseases,  and  the  nail  fold  capillaries  pattern  was  normal.  She  had  marked  improvement  after  a  week  of  nifedipine  treatment.  A  diagnosis  of  pernio  was  ultimately  made.