p-ISSN: 1306-696x | e-ISSN: 1307-7945
Volume : 9 Supp : 3 Year : 2021

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Turkish Journal of Trauma and Emergency Surgery SYMMETRICAL PERIPHERAL GANGRENE AND DOPAMINE [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2003; 9(3): 222-224

SYMMETRICAL PERIPHERAL GANGRENE AND DOPAMINE

Taner Colak1, Okan Erdogan1, Ozlem Yerebakan2, Cumhur Arıcı1, Alihan Gurkan1
1Department of General Surgery, Akdeniz University, Antalya, Turkey
2Department of Dermatology, Akdeniz University, Antalya, Turkey

We describe a case of a 55-year-old man with hypovolemic shock who developed a symmetrical peripheral gangrene (SPG) on hands and feet. The SPG syndrome consists of sudden onset of symmetrical gangrene of the fingers, toes and rarely, the nose, upper lip, ear lobes or genitals without large vessel obstruction or vasculitis. Vasopressors have been implicated directly or as a contributory cause in many cases. In this case, dopamine was used with high dose (> 20 µg/kg/min) which is inappropriate in hypovolemic shock states. SPG might be a severe and rare complication of dopamine. Care should be taken with the use of dopamine in patients with shock.

Keywords: Symmetrical peripheral gangrene, dopamine, hypovolemic shock

Taner Colak, Okan Erdogan, Ozlem Yerebakan, Cumhur Arıcı, Alihan Gurkan. SYMMETRICAL PERIPHERAL GANGRENE AND DOPAMINE. Ulus Travma Acil Cerrahi Derg. 2003; 9(3): 222-224