Unilateral Pseudo-Ainhum in Liver Cirrhosis

Background: Pseudo-ainhum is defined as any case of auto-amputation not associated with the classic spontaneous ainhum seen in Africans with unknown etiology.

Case presentation: A severely ill 58-year-old male patient presented with a painless constricting circular band on his left second toe. His medical history was remarkable for severe alcoholic liver cirrhosis with ascites formation leading to dyspnea. He had a hypoalbuminemia and a pronounced peripheral sensory neuropathy.

Conclusion: Here we present the second case of pseudo-ainhum associated with liver cirrhosis.