Swollen Purple Toe

January 3, 2014

A 20-year-old woman presents in mid-winter with a mildly painful, swollen, and discolored left toe of a week’s duration. What cause do you suspect?

A 20-year-old woman presents in mid-winter with a mildly painful, swollen, and discolored left toe of a week’s duration. She had also noted several small pruritic lesions on the toes of both feet.

What cause do you suspect?