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Case Reports
. 2021 Mar;38(Supplement):S58-S60.
doi: 10.4103/lungindia.lungindia_470_20.

Peripheral ischemic limb necrosis (Acro-ischemia) associated with severe COVID-19 patients (COVID-19 limbs): A report of three cases

Khaled Khattab  1 , Axel Tobias Kempa  1 , Riza Atas  1 , Harun Asani  1 , Ahmed Ehab  2
Affiliations
Case Reports

Peripheral ischemic limb necrosis (Acro-ischemia) associated with severe COVID-19 patients (COVID-19 limbs): A report of three cases

Khaled Khattab et al. Lung India. 2021 Mar.

Abstract

The association between severe coronavirus disease 2019 and hypercoagulable state was observed in many reports. This may be explained by the presence of hypoxia, severe systemic inflammatory response, immobilization due to intensive care unit (ICU) admission, and diffuse intravascular coagulation. We report three patients who were admitted to our respiratory ICU with acute severe respiratory distress syndrome (ARDS) requiring mechanical ventilation due severe acute respiratory syndrome coronavirus 2 infection, who developed severe limb ischemia during the course of the disease.

Keywords: ARDS; D-dimer; coronavirus disease 2019; limb ischemia; severe acute respiratory syndrome coronavirus 2.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Female patient with severe acute respiratory syndrome coronavirus disease 2019 ARDS. Ischemic changes were observed in both the lower and upper limbs with necrosis in the fingers
Figure 2
Figure 2
Female patient with severe acute respiratory syndrome coronavirus disease 2019 ARDS. Ischemic changes in the left toe
Figure 3
Figure 3
Female patient with severe SARS COVID-19 ARDS. Ischemic changes with necrosis in the middle toe
See this image and copyright information in PMC

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