Journal of Clinical Case Reports

Jimmy PS Chern

Publications

• Case Report
  Symmetrical Peripheral Gangrene in an Octagenerian Asian male with Multiple Morbidities: A Case Report
  Author(s): Hung-Wei Chang, Jimmy PS Chern and Ching-Yun KaoHung-Wei Chang, Jimmy PS Chern and Ching-Yun Kao
  
  Introduction: Symmetrical peripheral gangrene (SPG, or peripheral symmetrical gangrene, PSG) is defined as acute onset of symmetrical ischemic gangrene over multiple sites of acral area, mostly extremities and sometimes nose, ear or scalp, without vascular occlusion or vasculitis. The pathogenesis is still unknown but related to local ischemia due to disseminated intravascular coagulation, infection, or medications. Case presentation: A 87 year-old Asian man was admitted to the intensive care unit under the impression of septic shock. Vasopressors were administered due to hypotension. However, bilateral cyanosis over limbs was noted gradually few days after the medications given. Dry gangrene over distal limbs developed even after we stopped the medication as early as possible. Discussion: Symmetrical peripheral gangrene may be an indicator for disseminated intravascular coagulation a.. Read More»
  DOI: 10.4172/2165-7920.1000129

  Abstract PDF