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Clinical Medical Image Library

Symmetric Peripheral Gangrene

Shilpa Y Krishnegowda and Sudhir Kumar N*

Adichunchanagiri Institute of Medical Sciences, B G Nagar, Karnataka, India

*Corresponding author: Sudhir Kumar, Department of Dermatology, Adichunchanagiri Institute of Medical Sciences, B G Nagar, Karnataka, India, E-mail:
Clin Med Img Lib, CMIL-1-009, (Volume 1, Issue 1); ISSN: 2474-3682
Published Date: September 21, 2015
Citation: Krishnegowda SY, Sudhir KN (2015) Symmetric Peripheral Gangrene. Clin Med Img Lib 1:009
Copyright: © 2015 Krishnegowda SY. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Figure 1A: Symmetric peripheral Gangrene. Cyanosis is seen over the palms along with gangrenous fingers.

Figure 1B: Symmetric peripheral Gangrene. Cyanosis is seen over the foot along with gangrenous toes.

A 60 year old female was referred for evaluation of blackish fingers and toes since 2 days. Her heart rate (130 beats/minute), blood pressure (70/40 mmHg), respiratory rate (28 cycles/minute) and raised total cell counts revealed that she was in septic shock. Cutaneous examination revealed symmetrical cyanosis of the palms and soles with blackish fingers and toes (Figure 1a and Figure 1b). Pulsations of radial and dorsalis pedis arteries were felt. She was started on linezolid along with fresh frozen plasma. Symmetrical peripheral gangrene is symmetrical ischaemic damage in two or more distal sites with the absence of major occlusive disease. Though the general condition and cyanosis of the palms and soles improved over the next 2 days, the gangrenous part persisted with a line of demarcation between the two.

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