OUTCOME AND FOLLOWUP
Following discharge, the patient was transferred to a rehabilitation
hospital for further care. After 2 months of rehabilitation, the patient
was discharged from the rehabilitation hospital and did not experience
any recurrence of symptoms. Furthermore, there was no progression of
necrosis in the fingers following discharge from our hospital. A team
conference was conducted involving nurses, collagen disease physicians,
a plastic surgeon, an orthopedic surgeon, and a family member to discuss
the possibility of amputating the necrotic fingers. Considering that the
patient was receiving PSL and that future use of immunosuppressive drugs
was contemplated, it was decided to not proceed with amputation because
of the associated risk of infection. Instead, the patient’s progress
would continue to be monitored.