Vijay, S and Imthiaz, VK and Shah, Hitesh (2017) Peripheral gangrene complicating systemic lupus erythematosus in a patient with spina bifida: A case report. Malaysian Orthopaedic Journal, 11 (1). pp. 63-65. ISSN 1985 2533

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Abstract

An adolescent girl, a known case of spina bifida with systemic lupus erythematous , presented with bluish discolouration of three toes of the right foot. She had thrombosis of bilateral popliteal arteries. She underwent percutaneous transluminal angioplasty (PTA) of both legs and Chopart amputation of the right foot. Systemic lupus erythematosus (SLE) occurring in a patient with spina bifida has not been previously reported. Weakness, sensory loss, lack of normal ambulation, endarteritis, antiphospholipid antibody syndrome are common contributory factors for peripheral gangrene in patients with spina bifida with systemic lupus erythematosus.

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