Pedal Gangrenous Changes in the Digits of an Adolescent With Ulcerative Colitis: A Case Report.
Ulcerative colitis is an autoimmune inflammatory disease of the colon and is occasionally associated with thrombosis. We report the case of an adolescent with ulcerative colitis who presented with bilateral gangrenous toes without signs of ascending cellulitis. Radiographs indicated the presence of bilateral and erosive changes in the distal phalanges. The vascular team referred the patient for podiatric intervention for distal vasculitis and thrombosis of the digital vessels. Transphalangeal amputations were performed, and postoperative antibiotics were initiated. The surgical sites healed uneventfully, and the patient was able to resume daily activities. Thrombosis of the foot in the context of ulcerative colitis is a rare, but serious, complication that can lead to serious comorbidities, including amputation.
['Bhoola|Prashant H|PH|', 'Shtofmakher|Garry|G|', 'Bahri|Ankur|A|', 'Patel|Ankur A|AA|', 'Barlizo|Sharon R|SR|', 'Trepal|Michael|M|']
D000671:Amputation D002648:Child D002908:Chronic Disease D003093:Colitis, Ulcerative D005734:Gangrene D006801:Humans D007511:Ischemia D008297:Male D013927:Thrombosis D014034:Toes
gangrene adolescence ulcerative colitis thrombosis transphalangeal amputation