Case details: A geriatric woman presents to the healthcare center with a complaint of progressive painful swelling and bluish-purple coloration of the second and fourth toes. She also mentioned the onset of atrial fibrillation. Hypercoagulability tests were found negative. Transoesophageal echocardiography revealed the presence of left atrial septal pouches with a pedunculated thrombus. Duplex ultrasound and CT angiography showed no deep venous thrombosis or occlusion in the arterial tree.

Based on the patient details and the image, what is your diagnosis in this case? Option A: Raynaud’s syndrome Option B: Blue toe syndrome Option C: Acrocyanosis Option D: Perniosis *This image-based question is from the editorial team of Docplexus and is meant for educative purposes only. Stay tuned. The correct answer will be posted soon. Source: BMC Thrombosis Journal