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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Autores principales: Basnet, Sijan, Rajagopalan, Priya, Dhital, Rashmi, Qureshi, Ataul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681386/
https://www.ncbi.nlm.nih.gov/pubmed/31319486
http://dx.doi.org/10.3390/medicina55070383
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author Basnet, Sijan
Rajagopalan, Priya
Dhital, Rashmi
Qureshi, Ataul
author_facet Basnet, Sijan
Rajagopalan, Priya
Dhital, Rashmi
Qureshi, Ataul
author_sort Basnet, Sijan
collection PubMed
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.
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spelling pubmed-66813862019-08-09 Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure † Basnet, Sijan Rajagopalan, Priya Dhital, Rashmi Qureshi, Ataul Medicina (Kaunas) Case Report 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. MDPI 2019-07-17 /pmc/articles/PMC6681386/ /pubmed/31319486 http://dx.doi.org/10.3390/medicina55070383 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Basnet, Sijan
Rajagopalan, Priya
Dhital, Rashmi
Qureshi, Ataul
Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure †
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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681386/
https://www.ncbi.nlm.nih.gov/pubmed/31319486
http://dx.doi.org/10.3390/medicina55070383
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AT rajagopalanpriya symmetricalperipheralgangreneassociatedwithlowoutputcardiacfailure
AT dhitalrashmi symmetricalperipheralgangreneassociatedwithlowoutputcardiacfailure
AT qureshiataul symmetricalperipheralgangreneassociatedwithlowoutputcardiacfailure

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