Digital Gangrene in Association with Retinoblastoma
Published: March 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/32445.11319
Sarthak Das, Barath Jagadisan, Niranjan Biswal, Sriram Krishnamurthy, Subashini Kaliaperumal
1. Assistant Professor, Department of Paediatrics, JIPMER, Karaikal, Karaikal, Puducherry, India.
2. Associate Professor, Department of Paediatrics, JIPMER, Puducherry, India.
3. Senior Professor, Department of Paediatrics, JIPMER, Puducherry, India.
4. Additional Professor, Department of Paediatrics, JIPMER, Puducherry, India.
5. Additional Professor, Department of Opthalmology, JIPMER, Puducherry, India.
Correspondence
Dr. Sarthak Das,
Block D4, JIPMER Hostel Complex Velatheeru, Karaikal-605006, Puducherry, India.
E-mail: drsarthakdas2222@gmail.com
We report a 5-year old boy, diagnosed with Retinoblastoma (RB) in the right eye and subsequently developed digital gangrene as a result of Raynaud’s phenomenon. Color Doppler ultrasound showed occlusion of radial and ulnar arteries of the left upper limb. Antinuclear Antibody, Antiphospholipid Antibody (APLA) and rheumatoid factors were negative. The patient was treated with low molecular weight heparin (enoxaparin), nifedipine, and analgesics. Raynaud’s syndrome and digital gangrene constitute a rare paraneoplastic process, which was not reported with retinoblastoma earlier.
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