Finger Amputation After Injection With Lidocaine and Epinephrine
نویسندگان
چکیده
DESCRIPTION A 16-year-old previously well female, nonsmoker, without significant medical history, received an injection of lidocaine with epinephrine from her dermatologist, delivered in his office, to the radial and ulnar aspects of the middle phalanx of her long finger before having a skin lesion (wart) removed. No tourniquet was used. Eight hours later, the patient presented to the emergency department with acute pain of the involved long finger. Ischemic changes were noted on initial examination, and despite 1 week of intensive inpatient care, irreversible digital damage had occurred (Fig 1) and the patient went on to develop necrosis of the distal phalanx requiring amputation (Figs 1-3).
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