|
KMID : 1024720120020010094
|
|
Geriatric Rehabilitation
2012 Volume.2 No. 1 p.94 ~ p.98
|
|
|
A Case of Symmetrical Peripheral Gangrene after Septic Shock and Disseminated Intravascular Coagulation in an Elderly Patient
|
|
Oh Min-Kyun
|
|
|
Abstract
|
|
|
|
Symmetrical peripheral gangrene (SPG) is a rare clinical syndrome characterized by symmetrical distal ischemic damage leading to gangrene of two or more sites in the absence of large vessel obstruction or vasculitis. Any condition that critically diminishes the blood, nutrient, or oxygen supply to acral areas for a prolonged period can lead to symmetrical peripheral gangrene. Most cases of SPG are associated with disseminated intravascular coagulation (DIC) and infection. Another documented cause is use of vasopressors. Gangrene of the distal extremities is common. Other acral areas may be involved, such as the nose, ears, or vertex of scalp. SPG is a cause of significant morbidity and mortality often requiring multiple limb amputations in the survivors. We report a case about a 71-year-old female who had symmetrical peripheral gangrene after septic shock and DIC. She underwent transmetatarsal amputation due to the gangrene, and then recovered ambulatory ability after comprehensive rehabilitation.
|
|
|
KEYWORD
|
|
|
Symmetrical peripheral gangrene, Disseminated intravascular coagulation, Rehabilitation
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|