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A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2001 April;160(2):83-6
Gangrene of the finger following accidental intra-arterial Heroin injection
Vairo G., Miramda M. T.
ASL RM B - Ospedale «Sandro Pertini» - Roma, Dipartimento di Emergenza ed Accettazione Medica
Intra-arterial injection of abuse substance is a more and more frequent problem. Injection into arm and wrist artery results in severe burning pain, cyanosis, followed in few days by extensive edema of the hand and by various state of ischemia. These events need accurate examination because they always develop a gangrene necessitating amputation even though an appriopiate treatment is given. A case of a gangrene finger following intra-arterial heroin injections is presented. The pathogenesis, diagnostic problems, complications, and appropriate treatment, are discussed.