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. Author manuscript; available in PMC: 2018 Mar 1.
Published in final edited form as: J Vasc Surg Venous Lymphat Disord. 2016 Dec 14;5(2):280–292. doi: 10.1016/j.jvsv.2016.09.006

Figure 4.

Figure 4

A: Digital ischemia and B: forefoot gangrene in a patient with longstanding scleroderma and antiphospholipid syndrome. C: A multidisciplinary approach with vascular bypass, anticoagulation, vasodilator therapy and hyperbaric oxygen allowed limb salvage although the distal toes had to be amputated.