A 65-yo woman with hepatitis C, cirrhosis, renal impairment, hypertension, and restrictive cardiomyopathy had severe finger pain in both hands for several years, recently progressing to gangrene. What is the underlying cause?
Fungal melanonychia
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Flesh-eating bacteria (necrotizing group A strep)
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Cryoglobulinemia-induced vasculitis
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Scleroderma
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Warfarin-induced skin necrosis
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