Case ReportSymmetric Peripheral Gangrene and FalciparumMalariaS Kakati B Doley B Barman Anjana DeviAbstractSudden onset symmetric peripheral gangrene SPG is a relatively uncommon clinical entity manif ID: 857677
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498www.japi.org JAPIVOL. 52JUNE 2004 Case ReportSymmetric Peripheral Gangrene and FalciparumMalariaS Kakati*, B Doley**, B Barman***, Anjana Devi***AbstractSudden onset symmetric peripheral gangrene (SPG) is a relatively uncommon clinical entity manifested D I vessel obstruction. Classically, it accompanies infectiousCurrently, it is most commonly seen as a complication ofRaynauds phenomenon, C-protein deficiency and perhaps A 26 years lady with three children, last child birth 3 yearsback, without
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history of abortion, tea garden worker (in JAPIVOL. 52JUNE 2004www.japi.org499 renal failure, cold malaria and investigationsclinically. Another case of symmetric peripheral gangrene in malaria was reportedfrom Sri BM Patil Medical College, Bijaur. malaria is not well understood. Cytoadherenceadhesion molecule-1 (ELAM-1) and histidine, rish protein Although DIC could not be documented its presence was positive in peripheral malaria. R 1.Molos MA, Hall JC. Symmetrical peripheral gangrene and 1985;2
3 .Johnson K, Hansen ST Jr. SPG (purpura f
.Johnson K, Hansen ST Jr. SPG (purpura fulminans) complicating 1993; 165: 642 -5.3.Anuradha S, Prabhash K, Shome DK, 1999; 47: 733-35.4.Sharanabasawappa B. Symmetric peripheral gangrene and 2000; 48:108.5.Bradley D, Newbold Cl, Warrel DA. Malaria. In the Oxford6.White N J. Malaria. In the Mansons Tropical Disease. Gordon will be held in 12 to 14th March,Dr. S Chandrasekharan, Organising Secretary, No. 4 Jambulingam StreetTel. : 28275832 and 28312946; Mobile : 9840015023; E_mail : padmachan@eth.net.