The answer to the necrotic finger is
#1 Thromboangiitis obliterans.
This is a vaso-occlusive disease that involves small- and medium-sized vessels of the upper and lower extremities. It is strongly associated with tobacco use. An angiogram of this patient's right hand demonstrated multiple chronic occlusions of the digital branches of the small arteries that were unresponsive to IV vasodilators, supporting the diagnosis of thromboangiitis obliterans.
- Marantic Endocarditis is deposits of non-bacterial vegetations on the heart valves.
- Brachial Entrapment Syndrome is muscular enlargement or compression in the arm that presses on arteries and nerves.
- Kawasaki Disease affects children and is a vasculitis that affects many organs like the heart, lymph nodes, and causes skin rashes.
- Takayasu disease is a rare arteritis that affects mainly the aorta.
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This is a vaso-occlusive disease that involves small- and medium-sized vessels of the upper and lower extremities. It is strongly associated with tobacco use. An angiogram of this patient's right hand demonstrated multiple chronic occlusions of the digital branches of the small arteries that were unresponsive to IV vasodilators, supporting the diagnosis of thromboangiitis obliterans.
- Takayasu disease is a rare arteritis that affects mainly the aorta.
Thanks for taking the challenge! Don't you feel smarter now?