title: Severe digital necrosis in a 4-year-old boy: primary Raynaud's or jellyfish sting.
abstract: Raynaud's phenomena is a common disorder which may be primary or secondary to some connective tissue disorders such as systemic sclerosis and systemic lupus erythematosus. Jellyfish sting is a rare but life-threatening cause of Raynaud's phenomena. Digital gangrene is reported in 3% of children with secondary Raynaud's phenomena but does not occur in children with primary Raynaud's phenomena. We report a case of a 4-year-old boy who initially presented with episodes of pain and bluish to blackish discolouration and necrosis affecting the fingers on both hands after a jellyfish sting without any sign of connective tissue disorder.
authors.affiliation: Pediatric Cardiology Department, Faculty of Medicine, Onsekiz Mart University, Canakkale, Turkey.
authors.forename: Fatih Koksal
authors.initials: FK
authors.lastname: Binnetoglu
authors.forename: Betul
authors.initials: B
authors.lastname: Kizildag
authors.forename: Naci
authors.initials: N
authors.lastname: Topaloglu
authors.forename: Ozgur
authors.initials: O
authors.lastname: Kasapcopur
mesh_terms: D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D002675:Child, Preschool; D005385:Fingers / Q000473:pathology*; D005734:Gangrene / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D016285:Iloprost / Q000008:administration & dosage; D008297:Male; D011928:Raynaud Disease / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D037401:Scyphozoa; D014665:Vasodilator Agents / Q000008:administration & dosage
chemical_list: D014665:Vasodilator Agents; D016285:Iloprost