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. 2012:2012:750953.
doi: 10.1155/2012/750953. Epub 2012 Dec 13.

A unique case of unilateral lower extremity sparing systemic peripheral gangrene

Alexey Markelov  1 , Steven Defroda, Leopoldo Baccaro, Jamie Bastidas
Affiliations

A unique case of unilateral lower extremity sparing systemic peripheral gangrene

Alexey Markelov et al. Case Rep Vasc Med. 2012.

Abstract

We present here the case of a 70-year-old female who developed a systemic peripheral gangrene in both of her upper extremities (all fingers) and her right foot due to a severe septic shock requiring a systemic vasopressor therapy. Interestingly, the patient's left foot remained spared from gangrenous changes possibly due to a chronic external iliac artery occlusion and thus the lower concentration of vasopressors in that extremity.

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Figures

Figure 1
Figure 1
Bilateral peripheral gangrene of upper extremities.
Figure 2
Figure 2
Unilateral lower extremity sparing systemic peripheral gangrene.
Figure 3
Figure 3
Left lower extremity arteriogram showing the chronic occlusion of external iliac artery.
See this image and copyright information in PMC

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