Peripheral Gangrene Complicating Systemic Lupus Erythematosus in a Patient with Spina Bifida: A Case Report
Journal Title: Malaysian Orthopaedic Journal - Year 2017, Vol 11, Issue 1
Abstract
An adolescent girl, a known case of spina bifida with systemic lupus, presented with bluish discolouration of three toes of the right foot. She had thrombosis of bilateral popliteal arteries. She underwent percutaneous transluminal angioplasty (PTA) of both legs and Chopart amputation of the right foot. Systemic lupus erythematosus (SLE) occurring in a patient with spina bifida has not been previously reported. Weakness, sensory loss, lack of normal ambulation, endarteritis, antiphospholipid antibody syndrome are common contributory factors for peripheral gangrene in patients with spina bifida with systemic lupus erythematosus.
Authors and Affiliations
Vijay S, Imthiaz VK, Hitesh S
Tophaceous Gout simulating infected Ankle Implants
Gout is a well known metabolic disorder characterized by the formation of urate crystals in joints resulting in recurrent attacks of acute inflammatory arthritis following which tophi can occur in joints or subcutaneous...
Efficacy, Side Effects, Safety and Effects on Bone Turnover Markers of once a Week Sandoz Alendronate Sodium Trihydrate 70 mg
This open trial study was carried out to evaluate safety, side effects and efficacy of once a week alendronate sodium trihydrate (Sandoz, Pyrmant, Australia) for inhibiting bone resorption and bone turnover in 35 postmen...
Synovial Sarcoma of the Extremities. A Diagnosis that is Easily Missed
Synovial sarcoma of the extremities is an uncommon type of soft tissue sarcoma occurring predominantly in young adults at the para-articular regions. We present a series of 10 patients with an average age of 44 years and...
Intra-articular Entrapment of Medial Epicondyle Fracture Fragment in Elbow Joint Dislocation Causing Ulnar Neuropraxia: A Case Report
Traumatic elbow dislocations in children are rare but most of them are complex dislocations, and in such dislocations, medial humerus epicondyle fractureis the most common associated injury. Fracture incarceration in the...
Paediatric Femur Fractures: A Plea for Minimally Invasive Surgery to Prevent Osteomyelitis
Osteomyelitis in our two patients may have been prevented by using minimally invasive techniques. We recommend that pediatric femur fractures requiring surgery be treated using flexible nails, submuscular plating or exte...