“…Abnormalities include painless digital ulcers, blisters, nail discoloration, onycholysis, gangrene, self-amputation, and acroosteolysis. [1][2][3][4] Vasomotor dysfunction can lead to Raynaud's phenomenon. Moreover, skin necrosis and sensory involvement can result in mechanical or thermal injury that can exacerbate digital necrosis.…”