Triangle of symmetrical peripheral gangrene: Diabetes, infection and vasopressor

Abstract

Symmetrical peripheral gangrene (SPG) is a rare disorder leading to ischemic necrosis of extremities. We present a rare case of idiopathic SPG in a 67-year-old male who admitted for left upper limb necrotizing fasciitis. Diabetes patient can reveal their manifestation in variety of complications. SPG can result from a variety of conditions that cause disseminated intravascular coagulation and lead to distal hypoperfusion. The treatment is aimed at the control of the underlying disease and wound management.