ABSTRACT
Abstract Symmetrical peripheral gangrene is an ischemic necrosis simultaneously involving the distal portions of two or more extremities without any proximal arterial obstruction or vasculitis. It may occur as a result of a large number of infectious and non-infectious causes. A few cases of symmetrical peripheral gangrene associated with cardiac disease have been described in the literature. We describe a case of symmetrical peripheral gangrene complicating ventricular pseudoaneurysm, probably a hitherto unreported occurrence. In this report, we sought to emphasize the importance of cardiac evaluation while dealing with a case of symmetrical peripheral gangrene.
Subject(s)
Humans , Female , Middle Aged , Aneurysm, False/complications , Foot Dermatoses/etiology , Gangrene/etiology , Heart Aneurysm/complications , Skin/pathology , Echocardiography , Aneurysm, False/diagnostic imaging , Ventricular Dysfunction, Left/complications , Ventricular Dysfunction, Left/diagnostic imaging , Foot Dermatoses/pathology , Gangrene/pathology , Heart Aneurysm/diagnostic imaging , Myocardial Infarction/complicationsABSTRACT
Symmetrical peripheral gangrene is an ischemic necrosis simultaneously involving the distal portions of two or more extremities without any proximal arterial obstruction or vasculitis. It may occur as a result of a large number of infectious and non-infectious causes. A few cases of symmetrical peripheral gangrene associated with cardiac disease have been described in the literature. We describe a case of symmetrical peripheral gangrene complicating ventricular pseudoaneurysm, probably a hitherto unreported occurrence. In this report, we sought to emphasize the importance of cardiac evaluation while dealing with a case of symmetrical peripheral gangrene.
Subject(s)
Aneurysm, False/complications , Foot Dermatoses/etiology , Gangrene/etiology , Heart Aneurysm/complications , Aneurysm, False/diagnostic imaging , Echocardiography , Female , Foot Dermatoses/pathology , Gangrene/pathology , Heart Aneurysm/diagnostic imaging , Humans , Middle Aged , Myocardial Infarction/complications , Skin/pathology , Ventricular Dysfunction, Left/complications , Ventricular Dysfunction, Left/diagnostic imagingABSTRACT
The term 'angiokeratoma' includes a wide range of dermatological conditions of hyperkeratotic vascular disorders with a similar histologic combination of hyperkeratosis and superficial dermal vascular ectasia. Angiokeratomas can be classified into localized and systemic forms. Angiokeratoma of Fordyce (AKF) is a localized form of angiokeratoma, clinically characterized by 1- to 6-mm, black, blue, or dark red, dome-shaped papules located on the scrotum, shaft of penis, labia majora, clitoris, inner thigh, and lower abdomen. We describe herein a case of giant angiokeratoma of Fordyce on shaft of the penis in an elderly man, clinically masquerading as keratoacanthoma.
Subject(s)
Angiokeratoma/pathology , Keratoacanthoma/pathology , Penile Neoplasms/pathology , Skin Neoplasms/pathology , Aged, 80 and over , Diagnosis, Differential , Epidermis/pathology , Humans , Male , Scrotum/pathology , Treatment OutcomeABSTRACT
The term 'angiokeratoma' includes a wide range of dermatological conditions of hyperkeratotic vascular disorders with a similar histologic combination of hyperkeratosis and superficial dermal vascular ectasia. Angiokeratomas can be classified into localized and systemic forms. Angiokeratoma of Fordyce (AKF) is a localized form of angiokeratoma, clinically characterized by 1- to 6-mm, black, blue, or dark red, dome-shaped papules located on the scrotum, shaft of penis, labia majora, clitoris, inner thigh, and lower abdomen. We describe herein a case of giant angiokeratoma of Fordyce on shaft of the penis in an elderly man, clinically masquerading as keratoacanthoma.
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