Digital necrosis revealing ovarian cancer

We describe a 57-year-old woman who developed permanent acrocyanosis of all fingers rapidly leading to distal necrosis, revealing an ovarian cancer (O C). Seven similar published cases are reviewed. Digital ischaemia was bilat eral, severe and frequently complicated by digital necrosis. OC was of epit helial origin and disseminated at the time of diagnosis. Initial treatment of OC usually resulted in improvement of digital ischaemia. A possible OC s hould be looked for in women aged 45 years or more presenting with severe d igital ischaemia of recent onset.