Dry Gangrene With Ischemic Necrosis Of The Skin

Dry gangrene in a female patient with type 2 diabetes, involving the distal parts of the toes of her right foot is illustrated in Figure 7.2. The pedal arteries were not palpable and the ankle brachial index was 0.4. A well-demarcated red area extended up to the ankle and the lateral foot, indicating ischemic necrosis of the skin. Angiogra-phy showed the patient to have multilevel severe atherosclerotic disease with involvement of the tibial and pedal arteries. An attempt at mid-tarsal (at Lisfranc's joint) disarticulation was unsuccessful, as it was discovered during the operation that the deep tissues were all necrotic. Finally, the patient sustained a below-knee amputation.

Keywords: Dry gangrene

Gangrene Ankle
Figure 7.2 Dry gangrene of the distal areas of the toes of the right foot. The well-demarcated red area extending up to the ankle and the lateral foot indicates ischemic necrosis of the skin. (Courtesy of E. Bastounis)

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Responses

  • JANICE
    Is ischemia the same as necrosis and gangrene?
    9 years ago
  • ASMARA
    Is a necrotic ulcer the same as having gangrene?
    7 years ago
  • Saku
    Is a necrotic foot ulcer foot ulcer with gangrene the same thing?
    6 years ago
  • findlay
    Is necrosis the same thing as gangrene?
    6 years ago
  • esmeralda
    Is gangrene same as ischaemic?
    6 years ago
  • ronald
    IS DRY GANGRENE AND CUTANEOUS GANGRENE THE SAME THING?
    5 years ago
  • uta
    Is necrotic tissue the same as gangrene?
    5 years ago
  • salla
    Are ischemia and gangrene the same thing?
    5 years ago
  • tekle biniam
    Are necrosis and gangrene the same thing with ulcers?
    5 years ago
  • helen
    Is ischemic the same as gangrene?
    4 years ago

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