J Korean Orthop Assoc.  2010 Dec;45(6):482-485. 10.4055/jkoa.2010.45.6.482.

Symmetrical Peripheral Gangrene after Pulmonary Hemorrhage

Affiliations
  • 1Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital, Ilsan, Korea. hangugy@hanmail.net
  • 2Department of Orthopedic Surgery, College of Medicine, Yonsei University, Seoul, Korea.

Abstract

Symmetrical peripheral gangrene (SPG) is characterized by distal ischemic damage in two or more extremities without a large vessel obstruction. This syndrome is associated with low cardiac output, sepsis, malignancy, disseminated intravascular coagulation (DIC) and the administration of vasoactive drugs. We report a case of SPG in a patient with pulmonary hemorrhage, sepsis and DIC who had been administered dopamine.

Keyword

syndrome of symmetrical peripheral gangrene; low cardiac output; sepsis; disseminated intravascular coagulation; dopamine
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