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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Format: | Article |
Language: | English |
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Wiley
2022-01-01
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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. |
format | Article |
id | doaj-art-7064d38e33694ec78c9dc31daa80d845 |
institution | Kabale University |
issn | 2090-6439 |
language | English |
publishDate | 2022-01-01 |
publisher | Wiley |
record_format | Article |
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 |
work_keys_str_mv | AT hectoracosta symmetricalperipheralgangrenereportofthreecases AT pauforcada symmetricalperipheralgangrenereportofthreecases AT martabonjorn symmetricalperipheralgangrenereportofthreecases AT amermustafa symmetricalperipheralgangrenereportofthreecases AT paulpilares symmetricalperipheralgangrenereportofthreecases AT jordicolomina symmetricalperipheralgangrenereportofthreecases |