Titre : | Polycythemia as an Underlying Cause of Digital Gangrene: A Rare and Unusual Case Presentation |
Type de document : | article de périodique |
Auteurs : | Peter Ly |
Année de publication : | 2023 |
Langues : | Anglais (eng) |
Descripteurs (mots clés) : | [Thésaurus Mesh]Diagnostic par imagerie [Thésaurus Mesh]Gangrène [Thésaurus Mesh]Orteils [Thésaurus Mesh]Pied diabétique [Thésaurus Mesh]Polyglobulie [Thésaurus Mesh]Présentations de cas
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Résumé : | Digital gangrene is frequently encountered in patients who have diabetes with peripheral vascular compromise, with or without superimposed infection. Preoperative laboratory values and radiographic images are important to determine a proper course of action. Equally important is a thorough history taking to confirm or rule out systemic entities and preexisting conditions that can aggravate or predispose one to the development of digital gangrene. A patient with diabetes presented with a rare and unusual case of digital gangrene, as he clinically had strong pedal pulses. Preoperative workup revealed a suspicion of polycythemia, which was subsequently confirmed. The patient underwent several days of phlebotomy until his hemoglobin and hematocrit levels were brought down to optimized levels before a digital amputation was performed. He went on to heal uneventfully, and he is currently being closely followed by oncology/hematology colleagues with periodic phlebotomy. |
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