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- Sijan Basnet, Priya Rajagopalan, Rashmi Dhital, and Ataul Qureshi.
- Department of Medicine, Reading Hospital and Medical Center, West Reading, PA 19611, USA. sijan.basnet@towerhealth.org.
- Medicina (Kaunas). 2019 Jul 17; 55 (7).
AbstractSymmetrical 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.
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