Annals of Nigerian Medicine

CASE REPORT
Year
: 2014  |  Volume : 8  |  Issue : 2  |  Page : 98--102

Symmetrical peripheral gangrene and extremity amputations


Friday S Ejagwulu1, Abdulrasheed Ibrahim2 
1 Department of Orthopaedics and Trauma Surgery, Division of Plastic Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna State, Nigeria
2 Department of Surgery, Division of Plastic Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna State, Nigeria

Correspondence Address:
Abdulrasheed Ibrahim
Department of Surgery, Division of Plastic Surgery, Ahmadu Bello University Teaching Hospital, P.M.B. 06, Shika Zaria, Kaduna
Nigeria

Symmetrical peripheral gangrene (SPG) is a rare syndrome. It is characterized by bilateral distal ischemia leading to gangrene, in the absence of major vascular occlusive disease. It is considered a cutaneous marker of disseminated intravascular coagulation, and more than half of the patients who survive require amputation of the affected limb(s). The etio-pathogenesis of SPG is not well understood, but the hallmark is the occurrence of microcirculatory failure. We present two patients with SPG. The aim of this report is to sensitize and to help make the diagnosis easier for the clinician. Patients who are identified to be at risk require frequent observation and examination of the appearance of their distal extremities, nose, and ears. No treatment is universally effective. It should be individualized according to the underlying disease and patient«SQ»s general condition. The guiding principle is prompt identification and reduction or removal of aggravating factors.


How to cite this article:
Ejagwulu FS, Ibrahim A. Symmetrical peripheral gangrene and extremity amputations.Ann Nigerian Med 2014;8:98-102


How to cite this URL:
Ejagwulu FS, Ibrahim A. Symmetrical peripheral gangrene and extremity amputations. Ann Nigerian Med [serial online] 2014 [cited 2021 Jun 13 ];8:98-102
Available from: https://www.anmjournal.com/article.asp?issn=0331-3131;year=2014;volume=8;issue=2;spage=98;epage=102;aulast=Ejagwulu;type=0