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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

FINGERTIP NECROSIS
AUTOIMMUNE DISEASES, AND DISEASES
OF IMMUNE DYSFUNCTION
Antineutrophil cytoplasmic antibody syndrome – purpuric
vasculitis, orogenital ulceration, fingertip necrosis, pyoderma
gangrenosum-like ulcers 
BJD 134:924–928, 1996
224
A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
Schneiderman page 200-300.qxd 5/16/2006 6:49 PM Page 224


Connective tissue disease – eosinophilic vasculitis in connective
tissue diseases; digital microinfarcts 
JAAD 35:173–182, 1996
Hypersensitivity angiitis 
AD 138:1296–1298, 2002
Lupus erythematosus – systemic; vasculitis with infarcts of
fingertips 
JAAD 48:311–340, 2003; Rook p.2474, 1998, Sixth
Edition; JAMA 181:366–374, 1962; toe tips Caputo p.33, 2000
Mixed connective tissue disease – vasculitis 
Rook p.2545,
1998, Sixth Edition; Am J Med 52:148–159, 1972
Rheumatoid vasculitis – purpuric infarcts of paronychial areas
and digital pads (Bywater’s lesions) 
JAAD 53:191–209, 2005;
Rook p.2184, 1998, Sixth Edition; BJD 77:207–210, 1965;
digital infarcts 
JAAD 48:311–340, 2003
Scleroderma, including CREST syndrome 
Rook p.2527–2529,
1998, Sixth Edition
Sjögren’s syndrome 
Rook p.2572, 1998, Sixth Edition
CONGENITAL LESIONS
Umbilical artery catheterization – acrocyanosis, necrosis, livedo
reticularis 
Textbook of Neonatal Dermatology p.108,150, 2001
DRUG-INDUCED
Beta blockers – acral finger/toe-tip arteritis 
BJD 152:166–169,
2005
Bleomycin, intralesional treatment of warts; sclerodermatous
changes of hands with digital gangrene 
Clin Rheumatol
18:422–424, 1999; JAAD 33:851–852, 1995; AD 107:553–555,
1973; Raynaud’s phenomenon
Bleomycin, vincristine, and methotrexate 
BJD 134:378–379,
1996
Buprenorphine – intra-arterial injection 
AD 138:1296–1298, 2002
Calcium channel blockers – acral finger/toe-tip arteritis 
BJD
152:166–169, 2005
Cisplatin 
BJD 142:833–834, 2000
Coumarin necrosis
Cyclosporine vasculopathy
Ergotamine alkaloids – acral finger/toe-tip arteritis 
BJD
152:166–169, 2005
Levophed – ischemic necrosis
Oxymetazoline – intra-arterial injection 
AD 138:1296–1298,
2002
Quinine sulfate 
Hautarzt 51:332–335, 2000
Vasculitis, drug-induced 
AD 138:1296–1298, 2002
Vasoconstrictors (vasopressors) infusion

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