FIGURE 1.

(a,b) Vasculitic lesions appeared during COVID‐19 active disease: acral‐ischemia at right thumb that progressed to necrosis and residual scar at the dorsum of the hand secondary a liveoid lesion (red arrow). (c) High magnification (×40) histologic section of hand lesion biopsy with Hematoxylin and Eosin staining showed perivascular inflammatory infiltrate at dermal vessels (green arrow), with vessel wall thickening (yellow arrow), lumen sclerosis and fibrin thrombus (*). (d,e) Intraoperatively images of the thumb‐tip reconstruction with lateral hemi‐pulp toe transfer. (f,g) Hemi‐pulp toe transfer to right thumb at 8 weeks postoperatively