Purple glove syndrome: A potentially serious complication of phenytoin
Purple Glove Syndrome is a grave complication of intravenous phenytoin administration that is unfamiliar to many in the medical profession. It presents with edema, pain and bluish-purple discolouration of the limb and can lead to gangrenous changes in severe cases. Mild cases can be managed conservatively, with a positive outcome, whereas severe cases may require surgical treatment. Ignorant medical practitioners may have to face medicolegal complaints of this complication; wrongly attributed to mismanagement, overdosing and improper intravenous cannulation or extravasation. In the past Purple Glove Syndrome has been reported majorly in adult and elderly patients. However, we report a case of a three year old male child with Purple Glove Syndrome who had to undergo left upper limb-below elbow amputation due to the setting in of gangrene.
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