PT - JOURNAL ARTICLE AU - Fatih Koksal Binnetoglu AU - Betul Kizildag AU - Naci Topaloglu AU - Ozgur Kasapcopur TI - Severe digital necrosis in a 4-year-old boy: primary Raynaud’s or jellyfish sting AID - 10.1136/bcr-2013-201478 DP - 2013 Nov 18 TA - BMJ Case Reports PG - bcr2013201478 VI - 2013 4099 - http://casereports.bmj.com/content/2013/bcr-2013-201478.short 4100 - http://casereports.bmj.com/content/2013/bcr-2013-201478.full AB - 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.