Medical Challenge - What's the Diagnosis?

Here we go with this weeks medical mystery from the New England Journal of Medicine. I got it right! The patient is a smoker and his fingers turn whitish every time he is exposed to cold. What is the diagnosis that caused this severe lesion?(click on the image for a better view)1. Thromboangitis obliterans2. Marantic endocarditis3. Kawasaki disease4. Brachial entrapment syndrome5.

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