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Symmetrical Peripheral Gangrene in an Octagenerian Asian male with Multiple Morbidities: A Case Report | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Symmetrical Peripheral Gangrene in an Octagenerian Asian male with Multiple Morbidities: A Case Report

Hung-Wei Chang*, Jimmy PS Chern, Ching-Yun Kao
No. 1492, Chung-Shan Road, Taoyuan City, Taoyuan County, Taiwan, Republic of China
Corresponding Author : Hung-Wei Chang
Chung-Shan Road, 1492, Taoyuan City
Taoyuan County, Taiwan, Republic of China
E-mail: [email protected]
Received March 17, 2012; Accepted April 09, 2012; Published April 18, 2012
Citation: Chang HW, Chern JPS, Kao CY (2012) Symmetrical Peripheral Gangrene in an Octogenarian Asian male with Multiple Morbidities: A case report. J Clinic Case Reports 2:129. doi:10.4172/2165-7920.1000129
Copyright: © 2012 Chang HW, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Introduction: Symmetrical peripheral gangrene (SPG, or peripheral symmetrical gangrene, PSG) is defined as acute onset of symmetrical ischemic gangrene over multiple sites of acral area, mostly extremities and sometimes nose, ear or scalp, without vascular occlusion or vasculitis. The pathogenesis is still unknown but related to local ischemia due to disseminated intravascular coagulation, infection, or medications. Case presentation: A 87 year-old Asian man was admitted to the intensive care unit under the impression of septic shock. Vasopressors were administered due to hypotension. However, bilateral cyanosis over limbs was noted gradually few days after the medications given. Dry gangrene over distal limbs developed even after we stopped the medication as early as possible. Discussion: Symmetrical peripheral gangrene may be an indicator for disseminated intravascular coagulation and poor prognosis. Quick reversal of underlying disease and elimination of precipitating factors are both significant managements once symmetrical peripheral gangrene is diagnosed.


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