A catastrophic case of skin gangrene
Piccillo, G.A.; Musco, A.; Mancuso, M.E.; Mondati, E.G.M.
Annali Italiani di Medicina Interna Organo Ufficiale Della Societa Italiana di Medicina Interna 20(1): 51-53
2005
ISSN/ISBN: 0393-9340 PMID: 15859395 Document Number: 587568
We describe the case of a 70-year-old male with the catastrophic antiphospholipid syndrome admitted for skin gangrene of the fingers. The initial diagnosis was antiphospholipid antibody syndrome in a patient with rheumatoid arthritis and a history of deep vein thrombosis of the lower limbs. Liver involvement, the characteristic skin gangrene, pneumonia and worsening severe renal failure were determinant to make the final diagnosis of catastrophic antiphospholipid syndrome that led the patient to death.