title: Digital necrosis with squamous cell carcinoma of the tonsil.
abstract: BACKGROUND
  Digital necrosis is a rare phenomenon of paraneoplastic syndrome associated with squamous cell carcinoma of the tonsil. Since 1965, more than 70 cases have been reported worldwide in the literature.
  
  
  METHODS
  A 54-year-old male smoker presented with Raynaud's phenomenon, proceeding to frank gangrene of the fingers. Working up the case finally pointed toward carcinoma of the tonsil as the underlying cause - a rare paraneoplastic manifestation.
  
  
  CONCLUSIONS
  No definite etiology has been found to be the cause of Raynaud's phenomenon in this case of the squamous cell carcinoma of the tonsil. A brief discussion of the literature is also presented.
authors.affiliation: Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
authors.forename: Vinod
authors.initials: V
authors.lastname: Warrier
authors.affiliation: Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
authors.forename: Ali
authors.initials: A
authors.lastname: Ahmad
authors.affiliation: Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
authors.forename: Yaqoub
authors.initials: Y
authors.lastname: Alshatti
authors.affiliation: Department of Surgical and Interventional Sciences, University College London, Royal Free Hospital, London, UK.
authors.forename: Ali
authors.initials: A
authors.lastname: Jafar
keywords: Raynaud’s phenomenon; acronecrosis; digital necrosis; paraneoplastic manifestations; squamous cell carcinoma of the tonsil