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This 47-year-old patient had a one-month history of generalized arthralgias and a two-day history of fever, myalgia, abdominal pain,and diarrhea. His fingers and toes then turned cyanotic and rapidly became necrotic.
Patient’s renal angiogram.
Presenting as symmetric peripheral gangrene. Renal angiogram shows the arterial microaneurysms (arrows) that frequently accompanythis disease.
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