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Case report
Digital dry gangrene as a primary manifestation of systemic lupus erythematosus
  1. Satyendra Kumar Sonkar,
  2. Satish Kumar,
  3. Virendra Atam and
  4. Shyam Chand Chaudhary
  1. Medicine, King George's Medical University, Lucknow, India
  1. Correspondence to Professor Satyendra Kumar Sonkar; satyendra.sonkar{at}


Digital dry gangrene is commonly seen in cases of connective tissue disease such as systemic sclerosis. In systemic lupus erythematosus (SLE) digital gangrene is rare. As initial manifestation, it is again a rare phenomenon because it occurs late in the course of disease. Here we are reporting the case of a woman who was having extensive cutaneous gangrene of her fingers and toes, as a first and foremost presentation without any other typical signs and symptoms of SLE. Her serology was positive for SLE. The patient was treated conservatively and responded well.

  • immunological products and vaccines
  • musculoskeletal and joint disorders
  • emergency medicine
  • vasculitis
  • systemic lupus erythematosus

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  • Contributors SKS, SK: manuscript writing. VA: helped in writing of paper. SCC: web search for articles.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.