Abstract
Early manifestation of Antiphospholipid Syndrome (APS), include Dermatological features which aid in early diagnosis, before occurrence of any life threatening complications. However, digital gangrene is rare skin phenomenon in APS and even rarer as initial presenting feature of APS. So we herein report a series of three cases of APS, including one case of primary APS in young female, whose was occurrence of with digital gangrene as first manifestation of the disease.