An 78 year old male presented with this skin condition. He has a history of a quadruple coronary artery bypass grafting procedure and transapical transcatheter aortic-valve replacement What is the cause of this appearance? What diagnosis will you make?

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Chill blain peripheral vascular Disease

Thanks Dr Sachin kale
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Peripheral vascular disease chill blain

Tnx
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D /D 1 ITP 2 CHILL BLAINS

Thanx dr Dinesh Gupta
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? CHILBLAINS.. ? PVD ..

Tnx Dr Shivraj Agarwal sir
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Peripheral vascular disease Chill blain

Thanks Dr. Ashok Leel Sir
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SUGGESTIVE OF... RAYNAUD'S DISEASE.... DD CHILBLAINS LUPUS

Chill blains

Chilblains

Chilbains ( also known as Perniosis) Due to peripheral vasular disease aggrevated by cold.

Looks pure case of Raynods disease Purpura Color arterial Doppler Ct angiogram Opinion of vascular surgeon

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