Figure 1. Ischemic ulceration and necrosis of left middle finger. DESCRIPTION A 35-year-old man presented with a 3-year history of episodic fingertip pain with associated discoloration triggered by cold exposure. His job required activities in a subzero walk-in freezer, which exacerbated pain and discoloration. The middle fingertip wound began spontaneously 3 months prior and worsened despite m...
