Purple glove syndrome

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Purple Glove Syndrome

Purple glove syndrome (PGS) (/ˈpɜːrpl ɡlʌv sɪnˈdroʊm/) is a rare but serious complication that can occur following intravenous Phenytoin administration. The condition is characterized by progressive distal limb Edema, discoloration, and pain.

Etymology

The term "purple glove syndrome" is descriptive, referring to the discoloration and swelling that often resembles a hand wearing a purple glove. The exact origin of the term is unknown.

Symptoms

The symptoms of purple glove syndrome typically occur within hours to days following phenytoin administration. They include:

  • Pain and discomfort in the affected limb
  • Swelling or edema
  • Discoloration, ranging from pink to purple
  • Possible progression to Necrosis or tissue death if not treated promptly

Causes

Purple glove syndrome is most commonly associated with the intravenous administration of the antiepileptic drug phenytoin. The exact mechanism is not fully understood, but it is believed to be related to the drug's propensity to precipitate in the bloodstream and cause direct vascular injury.

Treatment

Treatment of purple glove syndrome primarily involves discontinuation of intravenous phenytoin. Other measures may include elevation of the affected limb, warm compresses, and in severe cases, surgical intervention may be necessary.

Related Terms

See Also

External links

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