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Elastic stocking-induced foot necrosis in a patient with severe pneumonia
Naoto Yamamoto1, Naoki Unno, Daisuke Sagara
1Division of Vascular Surgery, Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan ; Department of Surgery, Omaezaki Municipal Hospital, Omaezaki, Japan.
Abstract:
Elastic stockings (ES) are widely used for the prevention of venous thromboembolism. Here we report a case of foot ulcers induced by ES in patients with pneumonia and hypoxia. A 94-year-old woman was admitted for the treatment of pneumonia. The patient had been wearing an ES because of a history of deep vein thrombosis of the leg. Multiple foot ulcers occurred within 24 hours after the admission despite the absence of peripheral arterial occlusive disease. The ulcers took almost 5 months to heal. For patients with hypoxia, ES may further deteriorate local tissue hypoxia and thus should be used carefully.
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