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Case Reports
. 2010;3(3):247-50.
doi: 10.3400/avd.cr00905. Epub 2010 Dec 25.

Elastic stocking-induced foot necrosis in a patient with severe pneumonia

Naoto Yamamoto  1 , Naoki Unno, Daisuke Sagara, Minoru Suzuki, Motohiro Nishiyama, Hiroki Tanaka, Yuuki Mano, Hiroyuki Konno
Affiliations
Case Reports

Elastic stocking-induced foot necrosis in a patient with severe pneumonia

Naoto Yamamoto et al. Ann Vasc Dis. 2010.

Abstract

Elastic stockings (ES) are widely used for the prevention of venous thromboembolism. Here we report a case of foot ulcers induced by ES in patients with pneumonia and hypoxia. A 94-year-old woman was admitted for the treatment of pneumonia. The patient had been wearing an ES because of a history of deep vein thrombosis of the leg. Multiple foot ulcers occurred within 24 hours after the admission despite the absence of peripheral arterial occlusive disease. The ulcers took almost 5 months to heal. For patients with hypoxia, ES may further deteriorate local tissue hypoxia and thus should be used carefully.

Keywords: deep venous thrombosis; elastic stocking; foot ulcer.

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Figures

Fig. 1
Fig. 1
Site of skin necrosis. Necrosis was found on the dorsum of the right foot, medial aspect of the great toe, lateral aspect of the fifth toe, and heel.
Fig. 2
Fig. 2
Ulcers on the dorsum of the right foot and medial aspect of the great toe, several days after debridement of ulcers.
Fig. 3
Fig. 3
Healed ulcers on the dorsum of the right foot and medial aspect of the great toe.
See this image and copyright information in PMC

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