Symmetrical Peripheral Gangrene: Report of Three Cases

Symmetrical peripheral gangrene (SPG) is a rare clinical syndrome characterized by an acute onset of ischemic damage in two or more extremities without obstruction or vasculitis of supplying vessels. Body parts commonly affected include toes, hands, scrotum, and earlobes, increasing the risk of limb...

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Main Authors: Héctor Acosta, Pau Forcada, Marta Bonjorn, Amer Mustafa, Paul Pilares, Jordi Colomina
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2022/8615420
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author Héctor Acosta
Pau Forcada
Marta Bonjorn
Amer Mustafa
Paul Pilares
Jordi Colomina
author_facet Héctor Acosta
Pau Forcada
Marta Bonjorn
Amer Mustafa
Paul Pilares
Jordi Colomina
author_sort Héctor Acosta
collection DOAJ
description Symmetrical peripheral gangrene (SPG) is a rare clinical syndrome characterized by an acute onset of ischemic damage in two or more extremities without obstruction or vasculitis of supplying vessels. Body parts commonly affected include toes, hands, scrotum, and earlobes, increasing the risk of limb amputation and impairing the quality of life. The vascular injury mechanism is disseminated intravascular coagulation. SPG may manifest unpredictably in conditions associated with septic shock, low output states, vasospastic conditions, myeloproliferative disorders, or hyperviscosity syndrome. A review on the topic is presented based on a 3-case series of SPG that required amputation of fingers and toes after the administration of vasopressors in a septic shock context.
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institution Kabale University
issn 2090-6439
language English
publishDate 2022-01-01
publisher Wiley
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series Case Reports in Critical Care
spelling doaj-art-7064d38e33694ec78c9dc31daa80d8452025-02-03T01:01:19ZengWileyCase Reports in Critical Care2090-64392022-01-01202210.1155/2022/8615420Symmetrical Peripheral Gangrene: Report of Three CasesHéctor Acosta0Pau Forcada1Marta Bonjorn2Amer Mustafa3Paul Pilares4Jordi Colomina5Hospital Universitari de Santa MariaHospital Universitari Arnau de VilanovaHospital Universitari Arnau de VilanovaHospital Universitari Arnau de VilanovaHospital Universitari de Santa MariaHospital Universitari de Santa MariaSymmetrical peripheral gangrene (SPG) is a rare clinical syndrome characterized by an acute onset of ischemic damage in two or more extremities without obstruction or vasculitis of supplying vessels. Body parts commonly affected include toes, hands, scrotum, and earlobes, increasing the risk of limb amputation and impairing the quality of life. The vascular injury mechanism is disseminated intravascular coagulation. SPG may manifest unpredictably in conditions associated with septic shock, low output states, vasospastic conditions, myeloproliferative disorders, or hyperviscosity syndrome. A review on the topic is presented based on a 3-case series of SPG that required amputation of fingers and toes after the administration of vasopressors in a septic shock context.http://dx.doi.org/10.1155/2022/8615420
spellingShingle Héctor Acosta
Pau Forcada
Marta Bonjorn
Amer Mustafa
Paul Pilares
Jordi Colomina
Symmetrical Peripheral Gangrene: Report of Three Cases
Case Reports in Critical Care
title Symmetrical Peripheral Gangrene: Report of Three Cases
title_full Symmetrical Peripheral Gangrene: Report of Three Cases
title_fullStr Symmetrical Peripheral Gangrene: Report of Three Cases
title_full_unstemmed Symmetrical Peripheral Gangrene: Report of Three Cases
title_short Symmetrical Peripheral Gangrene: Report of Three Cases
title_sort symmetrical peripheral gangrene report of three cases
url http://dx.doi.org/10.1155/2022/8615420
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AT amermustafa symmetricalperipheralgangrenereportofthreecases
AT paulpilares symmetricalperipheralgangrenereportofthreecases
AT jordicolomina symmetricalperipheralgangrenereportofthreecases