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Hypereosinophilic syndrome complicated by severe vascular damage and gangrene
- Source :
- Journal of Vascular Surgery Cases and Innovative Techniques, Vol 5, Iss 3, Pp 384-387 (2019)
- Publication Year :
- 2019
- Publisher :
- Elsevier, 2019.
-
Abstract
- Hypereosinophilic syndrome (HES) is a complex multisystem disease characterized by sustained overproduction of eosinophils. A 40-year-old woman presented with digital ischemia and gangrene on her distal fingers and toes. We diagnosed HES on the basis of marked eosinophilia, accumulation of eosinophils in organs, and cutaneous eosinophilic vasculitis after having excluded all differential diagnoses. On digital subtraction angiography, occlusion of several arteries of both lower legs was noted. HES may be associated with severe vascular damage including gangrene. The occurrence of digital gangrene is a differential diagnostic challenge that should also include investigations of blood parameters, such as eosinophils.
- Subjects :
- Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
Subjects
Details
- Language :
- English
- ISSN :
- 24684287
- Volume :
- 5
- Issue :
- 3
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Vascular Surgery Cases and Innovative Techniques
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.88c4fbef79e042d083e6067d834ba18d
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.jvscit.2017.12.001