Case presentation A 45-year-old woman reported a sudden onset of pain in the little finger of her right hand without particular causative triggers. Subsequently, bruising appeared on the same finger, the right thumb, and thenar eminence, along with edema and discoloration. Patient history No relevant past medical history No history of recent trauma or physical exertion No history of exposure to sudden changes in temperature Clinical examination Subcutaneous hematoma and swelling, along with normal capillary refill. No difference in blood pressure between the two upper limbs.
Allen's test showed normal patency of vessels. Laboratory findings: Parameters Findings RBC 531 × 10 4 /μL WBC 5840/μL Platelets 385 × 10 3 /μL C reactive protein 0.03 mg/dL Autoantibody profile Normal Treatment The patient’s symptoms resolved spontaneously within five days without any treatment. Source : BMJ Case…