Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure

Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure

Symmetrical peripheral gangrene (SPG) is a rare entity characterized by ischemic changes of the distal extremities with maintained vascular integrity. We present the case of a 64-year-old man with bilateral necrotic toes and deranged liver function tests. This was thought to be related to severely d...

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Bibliographic Details
Main Authors: Sijan Basnet, Priya Rajagopalan, Rashmi Dhital, Ataul Qureshi
Format: Article
Language:English
Published: MDPI AG 2019-07-01
Series:Medicina
Subjects:
symmetrical peripheral gangrene
heart failure
low flow state
Online Access:https://www.mdpi.com/1010-660X/55/7/383
Description
Summary:Symmetrical peripheral gangrene (SPG) is a rare entity characterized by ischemic changes of the distal extremities with maintained vascular integrity. We present the case of a 64-year-old man with bilateral necrotic toes and deranged liver function tests. This was thought to be related to severely depressed ejection fraction from non-ischemic etiology, presumably chronic alcohol ingestion. We hope that awareness of SPG and association with a low output state will aid in early detection and prevention.
ISSN:1010-660X

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