A Case of Symmetrical Peripheral Gangrene Associated with Disseminated Intravascular Coagulation.
- Author:
Soo Keun LEE
;
Young Gon BAIK
;
Hee Joon YU
;
Sook Ja SON
- Publication Type:Case Report
- Keywords:
Symmetrical Periplieral Gangrene;
Disseminated Intravascular Coagulation
- MeSH:
Dermis;
Disseminated Intravascular Coagulation*;
Enterobacter aerogenes;
Female;
Gangrene*;
Humans;
Necrosis;
Parturition;
Skin;
Thumb;
Toes;
Vasculitis
- From:Korean Journal of Dermatology
1994;32(1):158-162
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of symmei.rical peripheral gangrene in a 22-day-old female associated with dissem-inated intravascular coagulation, which probably occured from septicmia of Enterobacter aerogenes. The skin lesions showed well-defined blackish gangrene surrounded by purpuric patches on the whole fingertips and toes except the loft thumb. Histopathologically, there were epidermal necrosis, diffuse extravasation of RBCs, mild petivascular inflammatory infiltrates and delated and RBC-filled vessels in the dermis. But, there was no definite evidence of vasculitis. In spit,e of aggressive antibictics therapy and other supportive measrres, she died at 39th day after birth.