Acta Scientific Clinical Case Reports

Case StudyVolume 3 Issue 2

Acute Limb Ischemia in India - Late Decision, Limb Lost? - A Case Study

Ashwini P Kudlekar* and K Suresh

Public Health and Environmental Health, Karnataka State Rural Development and Panchayat Raj University (KSRDPRU), GADAG, Karnataka, India

*Corresponding Author: Ashwini P Kudlekar, Masters of Public Health (MPH), Karnataka State Rural Development and Panchayat Raj University (KSRDPRU), GADAG, Karnataka, India..

Received: January 09, 2022; Published: January 28, 2022

Abstract

Acute limb ischaemia is a potentially fatal condition. Smoking is a one of the risk factors for poorer outcomes. Peripheral artery disease (PAD) is the commonest cause for Critical limb ischemia. Early reaching to the emergency and early administration of heparin is associated with lower amputation rates. The incidence of critical limb ischemia was 22 per 100,000 people per year in Oxford, England and an Indian study reported it to be 380 per 100,000 in mid-2000 AD. The exponential increase in diabetes in India has led to serious raise in PAD/CLTI. The diagnosis is based on physical exam as the first step including a bilateral comparison of temperature changes along the affected extremity. When a deficient pulse is detected, a complete bilateral pulse exam should be performed, muscle strength and sensation testing should be performed. The traditional 6 P's (pain, paraesthesia, pallor, pulselessness, poikilothermic, and a perishingly cold limb) are not clinically reliable because they may manifest only in the late stages, by which time extensive and irreversible soft tissue damage has occurred. Arterial Doppler examination will help in identifying occlusion, that need to be confirmed with Computed Tomography Angiography (CTA). Though Coronavirus disease-2019 (COVID-19) disease is very rarely associated with arterial thrombosis in a patient already on therapeutic anticoagulation, it is distinguished by a higher thrombus burden and a higher rate of amputation and death. Though men and women are affected equally, smokers, Diabetics, Covid 19 patients or those on heparin treatment are at higher risk of PAD. I report a case in a lady with none of such precipitating conditions.

Keywords: Peripheral Artery Diseases (PAD); Acute Limb Ischaemia; Arterial Occlusion; Critical Limb; Diabetes; Smoking; Infarction; Cardio-Vascular Events; Atherosclerotic Burden; Venous and Arterial Doppler Studies

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Citation: Ashwini P Kudlekar and K Suresh. “Acute Limb Ischemia in India - Late Decision, Limb Lost? - A Case Study". Acta Scientific Clinical Case Reports 3.2 (2022): 54-59.

Copyright: © 2022 Ashwini P Kudlekar and K Suresh. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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