Abstract
A case of bilateral forearm amputation resulting from purpura fulminans following subtotal colectomy for perforated ulcerative colitis
Highlights
Purpura Fulminans (PF) is a complication commonly associated with scarlet fever and meningococcal infection in infants but is reported in adult patients
This case presents an opportunity to discuss the importance of supportive care and hematological treatments to reduce the mortality and control the devastating complications of microvascular coagulation and limb ischemia associated with PF
Purpura fulminans (PF) is a rare syndrome characterized by microvasculature coagulation and thrombosis with hemorrhagic necrosis that can lead to purpuric lesions, skin necrosis and gangrene and autoamputation of distal extremities [1]
Summary
Optimization of microcirculation, steroid treatment, immunomodulation, protein C zymogen, plasma exchange or replacement can potentially mitigate the injury and should be considered to improve outcome
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
