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Related Experiment Videos

[Steal syndrome].

R Seror1, S Ingen-Housz-Oro, M Sigal-Grinberg

  • 1Service de Dermatologie, Centre Hospitalier V. Dupouy, Argenteuil.

Annales De Dermatologie Et De Venereologie
|June 28, 2006
PubMed
Summary
This summary is machine-generated.

Ischemic steal syndrome, a complication of hemodialysis arteriovenous access, can cause severe finger ischemia. Early diagnosis and surgical management are crucial to prevent amputation.

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Area of Science:

  • Vascular Surgery
  • Dermatology
  • Nephrology

Background:

  • Ischemic steal syndrome is an underrecognized complication of arteriovenous access for hemodialysis.
  • It presents with cutaneous manifestations, often overlooked by dermatologists.

Observation:

  • A diabetic man developed painful acrosyndrome and a necrotic finger ulcer post-arteriovenous access creation.
  • Symptoms improved with fistula compression, and arteriography confirmed steal syndrome.

Findings:

  • The case highlights a severe presentation of ischemic steal syndrome.
  • Surgical intervention (banding) was insufficient to prevent digital amputation.

Implications:

  • Increased dermatological awareness of ischemic steal syndrome is vital for early detection.
  • Prompt diagnosis and appropriate surgical management are essential to prevent severe ischemic complications like gangrene and amputation.