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Nupetit Anti Aging Cream disease presenting with spinal cord ischemia and gluteal and scrotal necroses, which was initially diagnosed and treated as spinal cord compression. In order to avoid misdiagnosis, careful examination of peripheral pulses of both lower limbs should always be part of the initial evaluation of cauda syndrome and paraplegia and when Fournier’s gangrene is suspected. 1. Introduction Thrombotic obliteration of the aortic bifurcation was first described by Leriche and Morel
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