Acute aortic occlusion (AAO) is a rare syndrome associated with substantial morbidity and mortality. To our knowledge, perineal ulcers have rarely been reported in association with AAO secondary to microembolism of the underlying thrombus.
A woman in her 40s presented to the emergency department with a 2-week history of abrupt painful ulcerations of the perineum. Additionally, she complained of bilateral lower extremity weakness. She had a history of untreated hypertension and 7–pack year history of smoking.
Sacotte R, Patel A, Wanat KA, Young K, Roth G, Wilson B. Cutaneous Herpetiform Ulcerations as the Presenting Sign of an Acute Aortic Occlusion. JAMA Dermatol. 2022;158(10):1216–1218. doi:10.1001/jamadermatol.2022.2527
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