• 1

    Gobel BH: Disseminated intravascular coagulation. .Semin Oncol Nursing 15::174. ,1999. .

  • 2

    Levi M, Ten Cate HT: Disseminated intravascular coagulation. .N Engl J Med 341::586. ,1999. .

  • 3

    Colman RW, Rubin RN: Disseminated intravascular coagulation due to malignancy. .Semin Oncol 17::172. ,1990. .

  • 4

    Manios SG, Kanakoudi F, Miliras-Vlachakis M: Gangrene of lower extremities in a newborn infant associated with intravascular coagulation (recession of gangrene after heparin therapy). .Helv Paediat Acta 27::187. ,1972. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Amjad H, Congco E, Tranchida L, et al: Peripheral gangrene and coagulopathy in a splenectomized Hodgkin’s disease patient. .W V Med J 74::264. ,1978. .

  • 6

    Wynne JM, Williams GL, Ellman BAH: Gangrene of the extremities in measles. .S A Med J 52::117. ,1977. .

  • 7

    Chaudhuri AKR, McKenzie P: Peripheral gangrene after measles. .BMJ 4::679. ,1970. .

  • 8

    Reinstien L, Govindan S: Extremity amputation: disseminated intravascular coagulation syndrome. .Arch Phys Med Rehabil 61::97. ,1980. .

  • 9

    Fredlund PE, Göransson G: Disseminated intravascular coagulation with peripheral gangrene complicating acute appendicitis. .Br J Surg 61::903. ,1974. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Rinaldo JE, Perez H: Ischemic necrosis of both lower extremities as a result of the microembolism syndrome complicating the adult respiratory distress syndrome caused by Escherichia coli pneumonia and septicemia. .Am Rev Respir Dis 126::932. ,1982. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Cafengiu AM, Hommel BL, Demarco M, et al: Lower extremity gangrene secondary to disseminated intravascular coagulation. .JAPMA 89::323. ,1999. .

    • Search Google Scholar
    • Export Citation
  • 12

    Gregory JL, Moore B: Pedal manifestations of disseminated intravascular coagulation. .J Foot Ankle Surg 38::50. ,1999. .

  • 13

    Pacheco NM, Harkless LB, Wynn MH: Malignancy and pedal gangrene. .JAPMA 86::564. ,1996. .

  • 14

    Taylor LM, Hauty MG, Edwards JM, et al: Digital ischemia as a manifestation of malignancy. .Annals of Surg 206::62. ,1986. .

  • 15

    Molos MA, Hall JC: Symmetrical peripheral gangrene and disseminated intravascular coagulation. .Arch Dermatol 121::1057. ,1985. .

  • 16

    Baglin T: Disseminated intravascular coagulation: diagnosis and treatment. .BMJ 312::683. ,1996. .

  • 17

    Hardaway RM, Williams CH: Disseminated intravascular coagulation: an update. .Comp Ther 22::737. ,1996. .

Pedal Gangrene Secondary to Disseminated Intravascular Coagulation with Gastric Carcinoma

Liza Gragasin-Saviano Submitted during first-year residency, Edward Hines, Jr Hospital, Department of Veterans Affairs, Hines, IL.

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Ernest Isaacson Submitted during fourth year, William M. Scholl College of Podiatric Medicine, Chicago, IL.

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Rodney M. Stuck Chief, Podiatry Section, Edward Hines, Jr Hospital, Department of Veterans Affairs; Associate Professor, Loyola University Stritch School of Medicine, Department of Orthopaedic Surgery and Rehabilitation. Mailing address:2160 S First Ave, Maywood, IL 60153.

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Consumptive coagulopathy resulting in a disseminated intravascular coagulation is most often seen in infectious diseases and hematologic malignancies. Solid tumors may be associated with disseminated intravascular coagulation that results in gangrene of the upper extremity. A case report of lower-extremity gangrene as the pathology for gastric carcinoma is presented. The need for a multidisciplinary approach to this clinical presentation is noted. (J Am Podiatr Med Assoc 92(3): 149-152, 2002)

The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of Veterans Affairs.