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CASE REPORT
Severe digital necrosis in a 4-year-old boy: primary Raynaud’s or jellyfish sting
  1. Fatih Koksal Binnetoglu1,
  2. Betul Kizildag2,
  3. Naci Topaloglu3,
  4. Ozgur Kasapcopur4
  1. 1Pediatric Cardiology Department, Faculty of Medicine, Onsekiz Mart University, Canakkale, Turkey
  2. 2Radiology Department, Faculty of Medicine, Onsekiz Mart University, Canakkale, Turkey
  3. 3Pediatrics Department, Faculty of Medicine, Onsekiz Mart University, Canakkale, Turkey
  4. 4Department of Pediatric Rheumatology, Istanbul University, Istanbul, Turkey
  1. Correspondence to Betul Kizildag, dr.betulkizildag{at}hotmail.com

Summary

Raynaud's phenomena is a common disorder which may be primary or secondary to some connective tissue disorders such as systemic sclerosis and systemic lupus erythematosus. Jellyfish sting is a rare but life-threatening cause of Raynaud's phenomena. Digital gangrene is reported in 3% of children with secondary Raynaud's phenomena but does not occur in children with primary Raynaud's phenomena. We report a case of a 4-year-old boy who initially presented with episodes of pain and bluish to blackish discolouration and necrosis affecting the fingers on both hands after a jellyfish sting without any sign of connective tissue disorder.

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