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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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
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spelling doaj-dc06cc7a5a2440b3bae960450a8c3f962020-11-25T01:12:51ZengMDPI AGMedicina1010-660X2019-07-0155738310.3390/medicina55070383medicina55070383Symmetrical Peripheral Gangrene Associated with Low Output Cardiac FailureSijan Basnet0Priya Rajagopalan1Rashmi Dhital2Ataul Qureshi3Department of Medicine, Reading Hospital and Medical Center, West Reading, PA 19611, USAThomas Jefferson University Hospital, 1025 Walnut Street, Philadelphia, PA 19107, USADepartment of Medicine, Reading Hospital and Medical Center, West Reading, PA 19611, USAThomas Jefferson University Hospital, 1025 Walnut Street, Philadelphia, PA 19107, USASymmetrical 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.https://www.mdpi.com/1010-660X/55/7/383symmetrical peripheral gangreneheart failurelow flow state
collection DOAJ
language English
format Article
sources DOAJ
author Sijan Basnet
Priya Rajagopalan
Rashmi Dhital
Ataul Qureshi
spellingShingle Sijan Basnet
Priya Rajagopalan
Rashmi Dhital
Ataul Qureshi
Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure
Medicina
symmetrical peripheral gangrene
heart failure
low flow state
author_facet Sijan Basnet
Priya Rajagopalan
Rashmi Dhital
Ataul Qureshi
author_sort Sijan Basnet
title Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure
title_short Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure
title_full Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure
title_fullStr Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure
title_full_unstemmed Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure
title_sort symmetrical peripheral gangrene associated with low output cardiac failure
publisher MDPI AG
series Medicina
issn 1010-660X
publishDate 2019-07-01
description 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.
topic symmetrical peripheral gangrene
heart failure
low flow state
url https://www.mdpi.com/1010-660X/55/7/383
work_keys_str_mv AT sijanbasnet symmetricalperipheralgangreneassociatedwithlowoutputcardiacfailure
AT priyarajagopalan symmetricalperipheralgangreneassociatedwithlowoutputcardiacfailure
AT rashmidhital symmetricalperipheralgangreneassociatedwithlowoutputcardiacfailure
AT ataulqureshi symmetricalperipheralgangreneassociatedwithlowoutputcardiacfailure
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