Document Detail


Digital ischaemia and palpable pedal pulses.
MedLine Citation:
PMID:  3607408     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Digital ischaemia in the presence of an otherwise well-perfused foot in the non-diabetic patient presents diagnostic problems especially as the manifestations are frequently evanescent. Eighty such patients (sixty men and twenty women aged 55-84 years) who presented to St. Laurence's Hospital from 1982 to 1985 inclusive were evaluated. Micro-embolization was inferred from the demonstration of a cardiac (20) or an arterial source (42) in 62 of 80 patients. In 14 of the remaining 18 patients a malignancy was diagnosed, which was found to be visceral cancer in 11 cases. Indium platelet scanning revealed platelet aggregation in 14 of 26 patients examined. Laboratory evidence of abnormalities of platelet aggregation or blood coagulation was found in only 6 patients. There have been no further symptoms in 37 patients who have been treated surgically or in 17 of 21 patients who have been treated with either anticoagulation or antiplatelet therapy.
Authors:
J A Comerford; P J Broe; I A Wilson; D J Bouchier-Hayes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  74     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1987 Jun 
Date Detail:
Created Date:  1987-09-03     Completed Date:  1987-09-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  493-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aneurysm / complications
Aortic Aneurysm / complications
Arterial Occlusive Diseases / complications
Cardiovascular Diseases / complications
Female
Humans
Ischemia / blood,  etiology*,  physiopathology
Male
Middle Aged
Neoplasms / complications
Pulmonary Valve Stenosis / complications
Pulse
Toes / blood supply*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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