IMAGING
IMAJ | volume 25
Journal 1, January 2023
pages: 77
A Tale of Toes
1 Department of Internal Medicine I, Sheba Medical Center, Tel Hashomer, Israel
2 Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
3 Maccabi Healthcare Services, Tel Aviv, Israel
Summary
A 64-year-old male, with antineutrophil cytoplasmic antibody-associated vasculitis was being treated with methotrexate and low dose prednisone. He arrived at the clinic with bluish discoloration of the toes. Inflammatory markers and urine were normal. No history of chilblains or Raynoud's phenomena was noted. He recovered recently from mild coronavirus disease 2019 (COVID-19). A diagnosis of COVID toes (COVID digits) was made [Figure 1].