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(a) Computed tomography (CT) angiogram done before sympathectomy blocks reveals attenuation of bilateral brachial arteries, bilateral radial arteries, bilateral ulnar arteries and bilateral below knee arteries (attenuation of right anterior tibial artery, right peroneal artery, total obliteration of left posterior tibial artery). (b) Wet gangrene of right index and middle finger and left index finger and thumb with multiple black spots on fingers and toes
