Symmetrical peripheral gangrene: a rare and early presentation of antiphospholipid syndrome

Abstract

Symmetrical peripheral gangrene: a rare and early presentation of antiphospholipid syndrome Symmetrical peripheral gangrene is characterized by the simultaneous development of gangrene in two or more extremities. It may arise because of various conditions, such as peripheral vascular disease (likely the most common cause of symmetrical peripheral gangrene), sepsis, infections, conditions involving decreased cardiac output, hypercoagulable states, vasospastic disorders, hyperviscosity syndromes, insect or animal bites, and others. Early recognition and treatment are necessary to prevent serious consequences. We report a case of symmetrical