title: Peripheral arterial disease and digital gangrene: a rare presentation of diabetic hand syndrome.
abstract: Digital gangrene in upper limbs may be due to systemic sclerosis, trauma, connective tissue disorders, vasculitic disorders and various myeloproliferative disorders or as a part of tropical diabetes hand syndrome which follows trauma. Peripheral arterial disease in diabetics commonly involves lower limbs. The present case, 45-year-old diabetic, presented with dry gangrene in fingertips of both hands for last two weeks without any history of trauma or lower limb gangrene. On examination and workup of the patient was found to have bilateral upper limb arterio-occlusive disease involving ulnar vessels as a macrovascular complication of diabetes mellitus. This presentation of diabetic hand syndrome is very, very rare, hence being reported.
authors.affiliation: Professor and Head, Department of Medicine, Goverment Medical College , Amritsar, Punjab, India .
authors.forename: Santokh
authors.initials: S
authors.lastname: Singh
authors.forename: Gian
authors.initials: G
authors.lastname: Chand
authors.forename: Shiv
authors.initials: S
authors.lastname: Charan
authors.forename: Sahil
authors.initials: S
authors.lastname: Arora
authors.forename: Parampreet
authors.initials: P
authors.lastname: Singh
keywords: Digital gangrene; Tropical diabetes hand syndrome; Upper limb