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Images in medicine
Clubbing masquerading as a vascular malformation!
  1. Savinay Kapur1,
  2. Ankur Goyal2
  1. 1 Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, Delhi, India
  2. 2 Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to DrAnkurGoyal, Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, Delhi 110029, India; ankurgoyalaiims{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2019-136787

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    A 13-year-old boy was referred to the radiology department with clinical suspicion of vascular malformation in the dorsum of the right great toe. The painless dark-coloured swelling was first noticed a year ago and had been gradually increasing. On examination, there was ~2×1.5 cm soft boggy warm, non-pulsatile swelling at the dorsum of the distal phalanx of the right great toe near the nail bed (figure 1A). Screening ultrasound showed ill-defined soft tissue thickening with increased colour vascularity (figure 1B). MRI was done …

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    Footnotes

    • Contributors SK: wrote the paper. AG designed and wrote the paper.

    • Funding This research has received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained

    • Provenance and peer review Not commissioned; internally peer reviewed.