To treat or not to treat

Epinephrine autoinjectors are widely prescribed for the self-treatment of anaphylaxis. Accidental digital injection of epinephrine is an increasingly common occurrence and can be associated with profound ischemia of the affected digit. Several case reports of such injuries exist; however, it is unclear what the appropriate treatment of accidental digital epinephrine injection should be. We will present a case of accidental digital epinephrine injection, review the available literature, and suggest treatment options.