Lalla Rakesh, Malhotra Hardeep Singh, Garg Ravindra Kumar, Sahu Ritesh
Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2012 Aug 24;2012:bcr2012006653. doi: 10.1136/bcr-2012-006653.
Purple glove syndrome is an uncommon but dreaded complication of intravenous phenytoin administration characterised by pain, oedema and purple-blue discolouration of the limb distal to the site of injection. We describe a 37-year-old gentleman having the characteristic purple glove appearance after phenytoin loading, and discuss the salient features of this syndrome highlighting the pathophysiological and preventive aspects.
紫手套综合征是静脉注射苯妥英钠时一种罕见但可怕的并发症,其特征为注射部位远端肢体疼痛、水肿及紫蓝色变色。我们描述了一名37岁男性在苯妥英钠负荷给药后出现典型的紫手套外观,并讨论了该综合征的显著特征,重点强调其病理生理及预防方面。