Three consecutive cases of dry gangrene in winter
DOI:
https://doi.org/10.18004/anales/2019.052.03.111-116Keywords:
Gangrene, Vasculitis, Celiac disease, Vasopressors, Cold injury, ParaguayAbstract
We present three cases of dry gangrene occurred in the southern winter of 2018. The first corresponds to a 37-year-old man, carrier of vasculitis due to cryoglobulinemia and silent celiac disease, which develops dry gangrene in hands and feet. The second is a 40-year-old woman who consults for dry gangrene of hands and feet, without demonstrable etiology. The third is a 38-year-old male admitted for septic shock of pulmonary origin that requires treatment with vasopressors developing dry gangrene of the hands and feet. Although the three cases have a different etiology, they coincided with very cold temperatures (average 6 °C), unusual for the tropical climate of Paraguay.
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