对称性周围性坏疽伴心输出量降低性心力衰竭。

Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure.

机构信息

Department of Medicine, Reading Hospital and Medical Center, West Reading, PA 19611, USA.

Thomas Jefferson University Hospital, 1025 Walnut Street, Philadelphia, PA 19107, USA.

出版信息

Medicina (Kaunas). 2019 Jul 17;55(7):383. doi: 10.3390/medicina55070383.

DOI:10.3390/medicina55070383

PMID:31319486

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6681386/

Abstract

Symmetrical peripheral gangrene (SPG) is a rare entity characterized by ischemic changes of the distal extremities with maintained vascular integrity. We present the case of a 64-year-old man with bilateral necrotic toes and deranged liver function tests. This was thought to be related to severely depressed ejection fraction from non-ischemic etiology, presumably chronic alcohol ingestion. We hope that awareness of SPG and association with a low output state will aid in early detection and prevention.

摘要

对称性周围性坏疽 (SPG) 是一种罕见的疾病，其特征为远端肢体出现缺血性改变，同时保持血管完整性。我们报告了一例 64 岁男性患者，双侧脚趾坏死且肝功能检查异常。这被认为与非缺血性病因引起的严重射血分数降低有关，可能与慢性酒精摄入有关。我们希望对 SPG 的认识以及与低输出状态的关联将有助于早期发现和预防。