Abstract

REAL, Raúl Emilio et al. Three consecutive cases of dry gangrene in winter. An. Fac. Cienc. Méd. (Asunción) [online]. 2019, vol.52, n.3, pp.111-116. ISSN 1816-8949.  https://doi.org/10.18004/anales/2019.052.03.111-116.

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.

Keywords : gangrene; vasculitis; celiac disease; vasopressors; cold injury..

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