
Symmetrical 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.
Heart Failure, Male, Medicine (General), Cardiology, Cardiac Output, Low, 610, heart failure, Case Report, symmetrical peripheral gangrene, Middle Aged, Gangrene, Electrocardiography, R5-920, Echocardiography, Medicine and Health Sciences, 617, low flow state, Humans, Emergency Service, Hospital
Heart Failure, Male, Medicine (General), Cardiology, Cardiac Output, Low, 610, heart failure, Case Report, symmetrical peripheral gangrene, Middle Aged, Gangrene, Electrocardiography, R5-920, Echocardiography, Medicine and Health Sciences, 617, low flow state, Humans, Emergency Service, Hospital
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