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A 19-year-old female patient with primary RP developed digital gangrene following surgical management of acute paronychia. The possible mechanism in this patient appears to be the augmentation of the vasoconstrictive response due to the local infiltration of epinephrine mixed with lignocaine prior to the incision and drainage of her infected finger.<\/jats:p>","DOI":"10.4997\/jrcpe.2012.106","type":"journal-article","created":{"date-parts":[[2012,3,22]],"date-time":"2012-03-22T19:12:43Z","timestamp":1332443563000},"page":"24-26","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Digital gangrene in a patient with primary Raynaud\u2019s phenomenon"],"prefix":"10.1177","volume":"42","author":[{"given":"V","family":"Ravindran","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Rheumatology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Rajendran","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Vascular Surgery, MES Medical College, Perinthalmanna, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,3,1]]},"reference":[{"key":"bibr1-JRCPE.2012.106","first-page":"339","volume":"77","author":"Rigopoulos D","year":"2008","journal-title":"Am Fam Physician"},{"key":"bibr2-JRCPE.2012.106","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00416-9"},{"key":"bibr3-JRCPE.2012.106","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)01252-X"},{"key":"bibr4-JRCPE.2012.106","first-page":"111","volume":"108","author":"Denkler K.","year":"2001","journal-title":"A comprehensive review of epinephrine in the finger: to do or not to do"},{"key":"bibr5-JRCPE.2012.106","doi-asserted-by":"crossref","unstructured":"5 Chowdhry S, Seidenstricker L, Cooney DS  Do not use epinephrine in digital blocks: myth or truth? 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