Question

What are the problems, how it's diagnosed, symptoms and treatments of Thromboangitis Obliterans?

Answer 1

Buergers disease or thromboangitis obliterans is an occlusive vascular disorder which involves the small and medium sized arteries and veins in the distal upper and lower extremities.

*it can also affect the cerebral, visceral and coronary vessels.

*it is common in men more than women

*etiology:

Tobacco use

Immune responses

Inherited factors

*Symptoms:

Pain and weakness of extremities

Swelling of extremities

Pale colors of fingers and toes when exposed to cold

Skjn ulcers or changes in hands or feet

Pain can radiate to more central parts

Distal extremity ischemia

Parasthesias

*diagnosis

Blood test(helps to rule out lupus,scleroderma,blood clothing disorder)

Ankle brachial index

Photo phle thesmography

Leg elevation test

Allens test

Rubber dependency test

*Treatment

Medical treatment:

Reducing the smoking

Anti nicotine replacement drug

Nicotinie acid derivative

Clonidine(0.15-0.75mg/day)

Ambulation

Anti platelat drug

Vaso dilator drug

Ca++ antagonist

Antihistamines

Vit E

Surgical management:

Sympathectomy

Enarteratomy

Amputation

PTCA

PABG