| © 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. | ||||
| © 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. | ||||
| © 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 | ||||
| © 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 | ||||
| © 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 | ||||
| © 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 | ||||
| © 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 | ||||
| © 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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