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Contributor

Jerzy Pawlak, MSc,PhD

Diagnosis

thromboangiitis obliterans Buerger disease

Body Site

finger hand

Age

33 years

Pigmentation

light

Organization

Color

red

Morphology

ulcerated (erosion / ulcer)

Pattern

acral (centripetal - extremity predominant)

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.

Description

multiple finger amputations

Categories

vasculopathy

Image Added

11/24/2007 17:37:24

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Other Resources

PubMed Medline Plus Medscape

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