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NATHAN D. WILENSKY, M.D.; MARTIN MILTON FISHER, M.D.; ALFRED MOLDOVAN, M.D.; GHERARDO J. GHERARDI, M.D.

AMA Arch Surg. 1953;67(4):557-565.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SIMULTANEOUS quadrilateral gangrene is a rare finding. We are prompted to report this syndrome, since in our total experience we have never previously observed it. Review of the literature reveals a paucity of case reports. These were observed in frost bite, thromboangiitis obliterans, carcinoma, cryoglobulinemia, and endocarditis. A case of hypothermia with quadrilateral gangrene simultaneously was reported by Laufman.¹ Previously Theis and co-workers² reported another case of quadrilateral frost-bite gangrene. Luckey and his associates reported the unusual occurrence of simultaneous quadrilateral gangrene in cryoglobulinemia.³ A case of quadrilateral gangrene associated with carcinoma of the pancreas and acute nonbacterial endocarditis was reported.⁴ There are no references in the literature to simultaneous quadrilateral gangrene in thromboangiitis obliterans, but quadrilateral gangrene has been reported.⁵

Symmetrical gangrene of the lower extremities has been reported frequently. In children it has been noted by Lewis⁶ and Richter.⁷ Broders and . . . [Full Text PDF of this Article]

Author Affiliations
BROOKLYN

From the Medical Services, the Peripheral Vascular Clinic, and the Department of Pathology of the Kings County Division of the Kings County Hospital.

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