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Contributor

Brock Andersen, MD

Diagnosis

thromboangiitis obliterans Buerger disease

Body Site

hand

Age

21 years

Pigmentation

light

Organization

grouped, clustered

Color

red

Morphology

macular / flat (macule / patch)

Pattern

symmetric acral (centripetal - extremity predominant)

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.

Description

symmetric red patches with scattered ulcerated papules

Categories

vasculopathy ulcer

Image Added

3/22/2009 22:08:03

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Other Resources

PubMed Medline Plus Medscape

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