Successful treatment of toe gangrene with moderate-dose steroid therapy in a patient with systemic sclerosis (CREST syndrome)

S. Yamada, H. Kameda, Michito Hirakata, Y. Ohosone, T. Mimori, Y. Ikeda

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 68-year-old woman first noticed Raynaud's phenomenon at the age of 35, and she was diagnosed as having systemic sclerosis (SSc) because of cutaneous calcinosis, sclerodactyly, telangiectasia, sausage-like finger, digital pitting scar in 1971. In October, 1994, she was suffered from cold sensation in her right foot, and on November 2 she noticed the painful ulcers on the right toe, which progressed to be gangrenous. Every antiplatelet or thrombolytic agents including PGE1, argatroban, sarpogrelate hydrochloride and urokinase were unsuccessful. Angiograms revealed marked narrowing of bilateral anterior and posterior tibial and peroneal arteries. Prednisolone 30 mg/day was started, which resulted in successful response within 10 days. Large vessel involvement in SSc patients has been reported to be rare, and its treatment remains to be established. We believe our case help understanding the pathophysiology of such rare manifestation in SSc.

Original languageEnglish
Pages (from-to)499-503
Number of pages5
JournalRyumachi
Volume37
Issue number3
Publication statusPublished - 1997

Fingerprint

CREST Syndrome
Gangrene
Systemic Scleroderma
Toes
Steroids
Tibial Arteries
Calcinosis
Telangiectasis
Raynaud Disease
Fibrinolytic Agents
Alprostadil
Platelet Aggregation Inhibitors
Urokinase-Type Plasminogen Activator
Prednisolone
Fingers
Ulcer
Cicatrix
Foot
Angiography
Therapeutics

Keywords

  • Gangrene
  • Large vessel
  • Prednisolone
  • Systemic sclerosis
  • Vasculitis

ASJC Scopus subject areas

  • Rheumatology

Cite this

Successful treatment of toe gangrene with moderate-dose steroid therapy in a patient with systemic sclerosis (CREST syndrome). / Yamada, S.; Kameda, H.; Hirakata, Michito; Ohosone, Y.; Mimori, T.; Ikeda, Y.

In: Ryumachi, Vol. 37, No. 3, 1997, p. 499-503.

Research output: Contribution to journalArticle

Yamada, S. ; Kameda, H. ; Hirakata, Michito ; Ohosone, Y. ; Mimori, T. ; Ikeda, Y. / Successful treatment of toe gangrene with moderate-dose steroid therapy in a patient with systemic sclerosis (CREST syndrome). In: Ryumachi. 1997 ; Vol. 37, No. 3. pp. 499-503.
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