Peripheral limb ischemia with preserved pulses

Abstract

Symmetric peripheral limb gangrene can occur with preserved arterial pulses due to the involvement of microcirculation, including small venules. Various representative disorders, including drug-induced vasculitis have been reported. Presenting a case of a 22-year-old female with symmetric ischemic changes of fingers with preserved pulses secondary to ergot alkaloid-induced secondary Raynaud's phenomena causing vasculitis. This case emphasizes on the importance of drug history and clinical examination and the need for high index of suspicion for drug-induced Raynaud's.