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Wegener's granulomatosis and acute upper limb digital ischemia
Author(s) -
KEJRIWAL Ritwik,
LIM Tien Ming,
KUMAR Sunil
Publication year - 2008
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/j.1756-185x.2008.00356.x
Subject(s) - medicine , iloprost , gangrene , prostacyclin , cyclophosphamide , amputation , ischemia , limb ischemia , surgery , disease , raynaud's disease , dermatology , chemotherapy
Wegener's granulomatosis is a rare disease which occasionally causes digital gangrene. We describe a patient who developed gangrene in an upper limb despite being on adequate treatment with intravenous cyclophosphamide and corticosteroids. Further management included administration of prostacyclin analogue (Iloprost) resulting in stabilization of disease.