Transient vasospasm. The blue toe

Borovoy, M; As, Beresh

doi:10.7547/87507315-75-12-656

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Medication-induced Vasoconstriction1

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1988

2023

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Cited by 6 publications

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“…A similar phenomenon occurs when local anesthetic combined with epinephrine is injected as a nerve block for toe surgery. 108 Systemic vasopressors also produce cutaneous vasoconstriction, which can lead to acrocyanosis, ischemia, and even gangrene. Such ischemic skin lesions occurred in 30% of 63 patients receiving continuous arginine vasopressin infusion for catecholamine-resistant vasodilatory shock 109 and have developed from the intravenous administrations of dopamine, 110 norepinephrine, 111,112 and phenylephrine.…”

Section: Medication-induced Vasoconstrictionmentioning

confidence: 99%

Blue (or purple) toe syndrome

Hirschmann¹,

Raugi²

2009

Journal of the American Academy of Dermatology

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Section: Medication-induced Vasoconstrictionmentioning

confidence: 99%

Blue (or purple) toe syndrome

Hirschmann¹,

Raugi²

2009

Journal of the American Academy of Dermatology

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Blue Toe Syndrome

O'Keeffe¹

1992

Arch Intern Med

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The sudden development of cyanotic lesions on the feet may be a result of atheroembolic disease or a number of medical conditions. A careful history and physical examination, basic laboratory tests, and noninvasive vascular assessment usually distinguish between medical and surgical causes and direct the choice of further investigations. Specific therapy is often available for medical conditions causing this syndrome. The management of atheroembolic disease is more controversial. In particular, further research is necessary to determine which patients need surgical intervention and which patients can be managed safely by medical therapy.

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