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.