RT Journal Article SR Electronic T1 Dermatologic Manifestation of Acro-Ischemia Associated With COVID-19 JF Ochsner Journal JO Ochsner J FD O. P. Jindal Global University SP 85 OP 88 DO 10.31486/toj.21.0030 VO 22 IS 1 A1 Robert Gumbita A1 Jason Z. Liu A1 Rohan Madhu Prasad A1 Yasser Radwan A1 Muhammad Nabeel YR 2022 UL http://www.ochsnerjournal.org/content/22/1/85.abstract AB Background: The common dermatologic manifestations seen in patients with coronavirus disease 2019 (COVID-19) include morbilliform, pernio-like, urticarial, macular erythematous, vesicular, and papulosquamous disorders, as well as retiform purpura. Although cases of acro-ischemia have been demonstrated, they are not well studied or reported.Case Report: A 73-year-old male was admitted for acute hypoxic respiratory failure secondary to COVID-19 infection. During the patient's hospital course, his oxygen requirement progressively increased, and he developed painful, violaceous purpura on his right lower extremity digits. The patient was treated with therapeutic doses of enoxaparin and nitroglycerin ointment in the hospital and apixaban on discharge. The patient was lost to follow-up.Conclusion: The multiorgan dysfunction associated with COVID-19 includes dermatologic manifestations. This case illustrates that acro-ischemia can resolve with guideline-based medical treatment.