A CASE OF SPONTANEOUS AUTO-AMPUTATION
Auto-amputation is the spontaneous detachment of gangrenous or non viable tissue from the viable part. Mainly occurs due to occlusion of the nurturing vessels of the extreme body parts such as digits. Chronic and persistent hypoxia and the gangrene formation is the most common pathology. This kind of autoamputation are very common in rural India.
Atherosclerosis is the most common cause, other vessels causes include Buerger’s disease, frost bite. Other causes include Diabetic gangrene , ESRD i.e. cryoglobulinemia.
A 65 years female, chronic smoker for 30 years presented with spontaneous disarticulation of fingers and toes over last 4 years . Initially it started with bluish discolouration of the finger tips and toes which started paining and gradually progressed to numbness, ulceration and amputation.