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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2019-07-01
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| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1010-660X/55/7/383 |
| _version_ | 1797721529548537856 |
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| author | Sijan Basnet Priya Rajagopalan Rashmi Dhital Ataul Qureshi |
| author_facet | Sijan Basnet Priya Rajagopalan Rashmi Dhital Ataul Qureshi |
| author_sort | Sijan Basnet |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-12T09:35:31Z |
| format | Article |
| id | doaj.art-dc06cc7a5a2440b3bae960450a8c3f96 |
| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T09:35:31Z |
| publishDate | 2019-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-dc06cc7a5a2440b3bae960450a8c3f962023-09-02T13:46:35ZengMDPI 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 |
| 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 |
| title | 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_short | Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure |
| title_sort | symmetrical peripheral gangrene associated with low output cardiac failure |
| topic | symmetrical peripheral gangrene heart failure low flow state |
| url | https://www.mdpi.com/1010-660X/55/7/383 |
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