| An atypical case of Purple Glove syndrome: an avoidable adverse event. | |
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MedLine Citation:
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PMID: 22778451 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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A 73-year-old man presented in status epilepticus. He had a long history of epilepsy for which he was treated with regular phenytoin and phenobarbitone. On admission, his phenytoin level was found to be subtherapeutic and was treated with rectal diazepam and intravenous lorazepam. He was later started on an infusion of phenytoin in preparation to restart his oral medication. The medication was delivered via a peripheral cannula in his forearm. Five days later, he developed redness and swelling of this arm followed by the appearance of a large ulcer. After ruling out infective causes and a compartment syndrome it was felt that the patient had developed a delayed purple glove syndrome secondary to intravenous phenytoin. Following 7 days of regular saline irrigation and dressing changes, the erythema improved and the ulcer showed signs of healing, and eventually resolved. |
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Authors:
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Hanaa Rajabally; Sathiji Nageshwaran; Sabina Russell |
Publication Detail:
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Type: Journal Article Date: 2012-07-09 |
Journal Detail:
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Title: BMJ case reports Volume: 2012 ISSN: 1757-790X ISO Abbreviation: BMJ Case Rep Publication Date: 2012 |
Date Detail:
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Created Date: 2012-07-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101526291 Medline TA: BMJ Case Rep Country: England |
Other Details:
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Languages: eng Pagination: - Citation Subset: IM |
Affiliation:
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Department of General Medicine, Chase Farm Hospital, Middlesex, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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