Case reports about vasopressin-induced cutaneous necrosis are not freq
uent. Here we report a further case, of which skin manifestations incl
uded not only mottling, cyanosis, ecchymosis, bullae and gangrene, but
also amber-like change in focal areas. Besides, intermittent paling o
f the skin with or without deep pain sensation of the limbs over non-i
njection sites was observed that might be a warning sign of impending
skin necrosis. Based on the literature about vasopressin-induced skin
necrosis we discuss the possible role of coagulation enhancement of th
is molecule.