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Abstract

•Steal Syndrome is a phenomenon seen in patients with retrograde flow in an ipsilateral vertebral artery due to stenosis or occlusion of the subclavian artery. 1-3 •It commonly manifests asymptomatically in most patients but can be found incidentally when there is a blood pressure difference or through upper extremity symptoms such as pain and ischemia or through neurological symptoms. 1-3 •Overall Incidence is currently unknown but most literature reports prevalence of 0.6% to 6.4%. 1-3 •We present a 45-year-old male with newly diagnosed Steal Syndrome who presented with a small blister on left ring finger, pain and bluish-black skin discoloration.

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Ischemic Steal Syndrome in a hemodialysis patient

•Steal Syndrome is a phenomenon seen in patients with retrograde flow in an ipsilateral vertebral artery due to stenosis or occlusion of the subclavian artery. 1-3 •It commonly manifests asymptomatically in most patients but can be found incidentally when there is a blood pressure difference or through upper extremity symptoms such as pain and ischemia or through neurological symptoms. 1-3 •Overall Incidence is currently unknown but most literature reports prevalence of 0.6% to 6.4%. 1-3 •We present a 45-year-old male with newly diagnosed Steal Syndrome who presented with a small blister on left ring finger, pain and bluish-black skin discoloration.

 

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