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Year : 2016  |  Volume : 60  |  Issue : 3  |  Page : 199-201

An anaesthesiologist's encounter with purple glove syndrome

1 Department of Cardiac Anaesthesia, AIIMS, New Delhi, India
2 Department of Anaesthesia, HIMSR, New Delhi, India

Correspondence Address:
B Uma
A-2525, Netaji Nagar, New Delhi - 110 023
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5049.177864

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Purple glove syndrome (PGS) is a devastating complication of intravenous (IV) phenytoin administration. Anaesthetic management during the amputation of the limb for such patients is very challenging due to limited clinical experience. A 65-year-old woman developed PGS of left upper extremity after IV administration of phenytoin following generalised tonic-clonic seizures. The condition progressed rapidly leading to gangrene of left hand extending to the mid arm. Amputation was carried out under general anaesthesia with a supraglottic airway device. We discuss the prevention and alternate managements in PGS, which is a rare clinical entity with limited data in the literature.

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