Korean J Dermatol.  1994 Feb;32(1):158-162.

A Case of Symmetrical Peripheral Gangrene Associated with Disseminated Intravascular Coagulation

• Lee SK
• Baik YG
• Yu HJ
• Son SJ

Abstract

We report a case of symmei.rical peripheral gangrene in a 22-day-old female associated with dissem-inated intravascular coagulation, which probably occured from septicmia of Enterobacter aerogenes. The skin lesions showed well-defined blackish gangrene surrounded by purpuric patches on the whole fingertips and toes except the loft thumb. Histopathologically, there were epidermal necrosis, diffuse extravasation of RBCs, mild petivascular inflammatory infiltrates and delated and RBC-filled vessels in the dermis. But, there was no definite evidence of vasculitis. In spit,e of aggressive antibictics therapy and other supportive measrres, she died at 39th day after birth.

Keyword

Symmetrical Periplieral Gangrene; Disseminated Intravascular Coagulation

MeSH Terms

Dermis
Disseminated Intravascular Coagulation*
Enterobacter aerogenes
Female
Gangrene*
Humans
Necrosis
Parturition
Skin
Thumb
Toes
Vasculitis