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Digital Ischemia in COVID-19 Patients: Case Report

Authors
  • Schultz, Kathryn1
  • Wolf, Jennifer Moriatis2
  • 1 University of Chicago Pritzker School of Medicine, Chicago, IL
  • 2 Department of Orthopaedic Surgery, University of Chicago, Chicago, IL
Type
Published Article
Journal
The Journal of Hand Surgery
Publisher
by the American Society for Surgery of the Hand.
Publication Date
Apr 30, 2020
Volume
45
Issue
6
Pages
518–522
Identifiers
DOI: 10.1016/j.jhsa.2020.04.024
PMID: 32387155
PMCID: PMC7190469
Source
PubMed Central
Keywords
License
Unknown

Abstract

As coronavirus 2019 (COVID-19) continues to cause an immense burden on the global health care systems, it is crucial to understand the breadth of this disease process. Recent reports identified hypercoagulability in a subset of critically ill patients and extremity ischemia in an even smaller cohort. Because abnormal coagulation parameters and extremity ischemia have been shown to correlate with poor disease prognosis, understanding how to treat these patients is crucial. To better describe the identification and management of this phenomenon, we present 2 cases of critically ill patients with COVID-19 who developed fingertip ischemia while in the intensive care unit.

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