Pedal Gangrenous Changes in the Digits of an Adolescent With Ulcerative Colitis: A Case Report.

Autor: Bhoola PH; Third Year Student, New York College of Podiatric Medicine, New York, NY. Electronic address: PBhoola@nycpm.edu., Shtofmakher G; Third Year Student, New York College of Podiatric Medicine, New York, NY., Bahri A; Third Year Student, New York College of Podiatric Medicine, New York, NY., Patel AA; Third Year Student, New York College of Podiatric Medicine, New York, NY., Barlizo SR; Assistant Professor, Division of Medical Sciences, New York College of Podiatric Medicine, New York, NY., Trepal M; Vice President for Academic Affairs, Dean, and Professor, Department of Surgical Sciences, New York College of Podiatric Medicine, New York, NY.
Jazyk: angličtina
Zdroj: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2016 Mar-Apr; Vol. 55 (2), pp. 272-5. Date of Electronic Publication: 2014 Aug 16.
DOI: 10.1053/j.jfas.2014.06.024
Abstrakt: Ulcerative colitis is an autoimmune inflammatory disease of the colon and is occasionally associated with thrombosis. We report the case of an adolescent with ulcerative colitis who presented with bilateral gangrenous toes without signs of ascending cellulitis. Radiographs indicated the presence of bilateral and erosive changes in the distal phalanges. The vascular team referred the patient for podiatric intervention for distal vasculitis and thrombosis of the digital vessels. Transphalangeal amputations were performed, and postoperative antibiotics were initiated. The surgical sites healed uneventfully, and the patient was able to resume daily activities. Thrombosis of the foot in the context of ulcerative colitis is a rare, but serious, complication that can lead to serious comorbidities, including amputation.
(Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: