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Dermatology Images

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DermAtlas: HAND - thromboangiitis obliterans
© 2001-2010, DermAtlas
Image Name: Thromboangiitisobliterans_1_090304   File Type: jpg
Diagnosis: THROMBOANGIITIS OBLITERANS /
BUERGER DISEASE
  Category: vasculopathy /
ulcer
Body Site: hand   Age: 21 years
Contributor: Brock Andersen, MD    
Description: symmetric red patches with scattered ulcerated papules
Comments: This 21-year-old Marine with a 4-pack-year history of smoking cigarettes complained of recurrent numbness and tingling in his hands when exposed to cold (Raynaud phenomenon), and recurrent ulcerations on the dorsal surface of the hands. Biopsy confirmed thromboangiitis obliterans. All lesions resolved within 4 months of smoking cessation and avoidance of cold exposure.

DermAtlas: FINGER - thromboangiitis obliterans
© 2001-2010, DermAtlas
Image Name: Thromboangitis_obliterans_1_071119   File Type: jpg
Diagnosis: THROMBOANGIITIS OBLITERANS /
BUERGER DISEASE
  Category: vasculopathy
Body Site: finger / hand   Age: 33 years
Contributor: Jerzy Pawlak, MSc,PhD    
Description: multiple finger amputations
Comments: This 33-year-old man was a heavy cigarette smoker with a history of numerous amputations to his fingers not related trauma. On examination a radial pulse was barely palpable.Thromboangitis obliterans or Buerger disease is an episodic inflammatory condition of unknown etiology which results in thrombosis and occlusion of peripheral arteries and veins. It principally affects the small vessels of the extremities distal to the brachial and/or popliteal arteries. Smoking exacerbates the disease, but if the patient stops smoking the disease will usually stabilise. Continued smoking results in relentless progression.

DermAtlas: FOOT - gangrene
© 2001-2010, DermAtlas
Image Name: Buerger_Disease_5_030427   File Type: jpg
Diagnosis: GANGRENE /
ISCHEMIA /
BUERGER DISEASE
  Category: vasculopathy /
purpura
Body Site: foot / toe   Age: 42 years
Contributor: Shahbaz A. Janjua, MD    
Description: purple necrotic skin with black eschar and crusts
Comments: This 42-year-old man, who was a heavy smoker with a 2 year history of Raynaud phenomenon, developed ischemic ulcers covered with black eschars on the tips of his fingers and toes. The lesions progressed to dry gangrene of the distal phalanges of the index, middle and ring fingers of his left hand and all of the toes of his left foot. He was treated with broad sprectrum anbiotics, advised to stop smoking immediately, and sent for surgical consultation. Buerger disease (thromboangiitis obliterans) is a nonatherosclerotic, segmental, inflammatory, vasoocclusive disease affecting the small and medium sized arteries and veins of the upper and lower extremities. This disorder is strongly associated with heavy tobacco use, and progression of the disease is closely linked to continued smoking.
Related Images: All related Images  Buerger_Disease_1_030427  Buerger_Disease_2_030427  Buerger_Disease_3_030427  Buerger_Disease_4_030427 

DermAtlas: FOOT - gangrene
© 2001-2010, DermAtlas
Image Name: Buerger_Disease_4_030427   File Type: jpg
Diagnosis: GANGRENE /
BUERGER DISEASE /
ULCER
  Category: vasculopathy /
ulcer
Body Site: foot   Age: 42 years
Contributor: Shahbaz A. Janjua, MD    
Description: Dry gangrene of the fingers and toes causing blackening due to ischaemia and frank sepsis affecting the left foot.
Comments: This 42-year-old man, who was a heavy smoker with a 2 year history of Raynaud phenomenon, developed ischemic ulcers covered with black eschars on the tips of his fingers and toes. The lesions progressed to dry gangrene of the distal phalanges of the index, middle and ring fingers of his left hand and all of the toes of his left foot. He was treated with broad sprectrum anbiotics, advised to stop smoking immediately, and sent for surgical consultation. Buerger disease (thromboangiitis obliterans) is a nonatherosclerotic, segmental, inflammatory, vasoocclusive disease affecting the small and medium sized arteries and veins of the upper and lower extremities. This disorder is strongly associated with heavy tobacco use, and progression of the disease is closely linked to continued smoking.
Related Images: All related Images  Buerger_Disease_1_030427  Buerger_Disease_2_030427  Buerger_Disease_3_030427  Buerger_Disease_5_030427 

DermAtlas: FINGER - gangrene
© 2001-2010, DermAtlas
Image Name: Buerger_Disease_3_030427   File Type: jpg
Diagnosis: GANGRENE /
BUERGER DISEASE /
ULCER
  Category: vasculopathy /
ulcer
Body Site: finger / hand   Age: 42 years
Contributor: Shahbaz A. Janjua, MD    
Description: dry black necrotic acral skin
Comments: This 42-year-old man, who was a heavy smoker with a 2 year history of Raynaud phenomenon, developed ischemic ulcers covered with black eschars on the tips of his fingers and toes. The lesions progressed to dry gangrene of the distal phalanges of the index, middle and ring fingers of his left hand and all of the toes of his left foot. He was treated with broad sprectrum anbiotics, advised to stop smoking immediately, and sent for surgical consultation. Buerger disease (thromboangiitis obliterans) is a nonatherosclerotic, segmental, inflammatory, vasoocclusive disease affecting the small and medium sized arteries and veins of the upper and lower extremities. This disorder is strongly associated with heavy tobacco use, and progression of the disease is closely linked to continued smoking.
Related Images: All related Images  Buerger_Disease_1_030427  Buerger_Disease_2_030427  Buerger_Disease_4_030427  Buerger_Disease_5_030427 

DermAtlas: HAND - gangrene
© 2001-2010, DermAtlas
Image Name: Buerger_Disease_2_030427   File Type: jpg
Diagnosis: GANGRENE /
ULCER /
BUERGER DISEASE
  Category: vasculopathy /
ulcer
Body Site: hand / finger   Age: 42 years
Contributor: Shahbaz A. Janjua, MD    
Description: dry black necrotic acral skin
Comments: This 42-year-old man, who was a heavy smoker with a 2 year history of Raynaud phenomenon, developed ischemic ulcers covered with black eschars on the tips of his fingers and toes. The lesions progressed to dry gangrene of the distal phalanges of the index, middle and ring fingers of his left hand and all of the toes of his left foot. He was treated with broad sprectrum anbiotics, advised to stop smoking immediately, and sent for surgical consultation. Buerger disease (thromboangiitis obliterans) is a nonatherosclerotic, segmental, inflammatory, vasoocclusive disease affecting the small and medium sized arteries and veins of the upper and lower extremities. This disorder is strongly associated with heavy tobacco use, and progression of the disease is closely linked to continued smoking.
Related Images: All related Images  Buerger_Disease_1_030427  Buerger_Disease_3_030427  Buerger_Disease_4_030427  Buerger_Disease_5_030427 

DermAtlas: HAND - gangrene
© 2001-2010, DermAtlas
Image Name: Buerger_Disease_1_030427   File Type: jpg
Diagnosis: GANGRENE /
ULCER /
BUERGER DISEASE
  Category: vasculopathy /
ulcer
Body Site: hand / finger   Age: 42 years
Contributor: Shahbaz A. Janjua, MD    
Description: dry black necrotic acral skin
Comments: This 42-year-old man, who was a heavy smoker with a 2 year history of Raynaud phenomenon, developed ischemic ulcers covered with black eschars on the tips of his fingers and toes. The lesions progressed to dry gangrene of the distal phalanges of the index, middle and ring fingers of his left hand and all of the toes of his left foot. He was treated with broad sprectrum anbiotics, advised to stop smoking immediately, and sent for surgical consultation. Buerger disease (thromboangiitis obliterans) is a nonatherosclerotic, segmental, inflammatory, vasoocclusive disease affecting the small and medium sized arteries and veins of the upper and lower extremities. This disorder is strongly associated with heavy tobacco use, and progression of the disease is closely linked to continued smoking.
Related Images: All related Images  Buerger_Disease_2_030427  Buerger_Disease_3_030427  Buerger_Disease_4_030427  Buerger_Disease_5_030427 

DermAtlas: FOOT - Buerger disease
© 2001-2010, DermAtlas
Image Name: Burger_1_020506   File Type: jpg
Diagnosis: BUERGER DISEASE /
THROMBOANGIITIS OBLITERANS
  Category: other
Body Site: foot / hand   Age: 36 years
Contributor: Khalid Al Aboud, MD    
Description: cold purple fingers and toes with necrosis and amputation
Comments: A 36 year old man with thromboangitis obliterans (Burger disease) demonstrates complications of his disease with necrosis and amputation of fingers and toes.

                             
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Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Jan-18-2010
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