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.
Recommended CitationBasnet, Sijan; Rajagopalan, Priya; Dhital, Rashmi; and Qureshi, Ataul, "Symmetrical Peripheral Gangrene Associated with Low Output Cardiac Failure." (2019). Department of Medicine Faculty Papers. Paper 260.
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