両耳介・鼻尖部に壊疽をきたした糖尿病の1例

片岡 伸久朗; 江草 玄士; 小川 潤一郎; 久保 敬二; 小武家 暁子; 高山 定松; 山根 公則; 原 均; 西本 幸男

doi:10.11213/tonyobyo1958.30.1035

A Diabetic Patient with Gangrene of the Ear Lobes and Nose Tip

Shinkuro Kataoka, Genshi Egusa, Junichiro Ogawa, Keiji Kubo, Kyoko Kobuke, Sadamatsu Takayama, Kiminori Yamane, Hitoshi Hara, Yukio Nishimoto

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JOURNAL FREE ACCESS

1987 Volume 30 Issue 11 Pages 1035-1038

DOI https://doi.org/10.11213/tonyobyo1958.30.1035

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Abstract

Gangrene of the ear lobes and nose tip developed in a 44-year-old diabetic woman. She had been cooling her forehead and temples with ice, because she was suffering from fever due to pneumonia. A few days later, she found that her ear lobes and nose tip had become black and necrotic, but there was no pain. Diabetic treatment was changed from oral hypoglycemic agents to insulin. Futhermore, local debridement and antibiotics were used. This case suggests that factors such as local cooling or local pressure can cause diabetic gangrene in areas other than the foot.

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