Buerger’s Disease – A Clinical Case

Detalhes bibliográficos
Autor(a) principal: Fernandes, Urânia
Data de Publicação: 2023
Outros Autores: Vasconcelos, João, Marques, Rita, Pinto-de-Sousa, João, Almeida Pinto, João
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.48729/pjctvs.259
Resumo: Buerger’s disease is a distal segmental nonatherosclerotic vasculopathy that involves the inferior and superior limbs of smoker males younger than 45 years old. This article aims to describe a clinical case and revise the literature about Buerger’s disease. A 45-year-old smoker male repeatedly visited the emergency department for refractory pain and inflammatory signs in the right hallux. After developing ulcers in the right foot, Doppler ultrasonography revealed segmental occlusion of distal arteries of that limb. It was also observed in arteriography “corkscrew” collaterals. Autoimmune, thrombophilic and cardiovascular diseases were excluded. Analgesia, antibiotics and alprostadil were implemented. As a result, the patient stopped smoking and was submitted to minor amputation with complete healing, after which he remained asymptomatic. Buerger’s disease is a diagnosis of exclusion. Therefore, smoking cessation is the most effective treatment and is crucial to prevent disease progression.
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spelling Buerger’s Disease – A Clinical CaseBuerger`s diseasethromboangiitis obliteranslimb ischemiaperipheral artery diseaseBuerger’s disease is a distal segmental nonatherosclerotic vasculopathy that involves the inferior and superior limbs of smoker males younger than 45 years old. This article aims to describe a clinical case and revise the literature about Buerger’s disease. A 45-year-old smoker male repeatedly visited the emergency department for refractory pain and inflammatory signs in the right hallux. After developing ulcers in the right foot, Doppler ultrasonography revealed segmental occlusion of distal arteries of that limb. It was also observed in arteriography “corkscrew” collaterals. Autoimmune, thrombophilic and cardiovascular diseases were excluded. Analgesia, antibiotics and alprostadil were implemented. As a result, the patient stopped smoking and was submitted to minor amputation with complete healing, after which he remained asymptomatic. Buerger’s disease is a diagnosis of exclusion. Therefore, smoking cessation is the most effective treatment and is crucial to prevent disease progression.SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR2023-07-07info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48729/pjctvs.259https://doi.org/10.48729/pjctvs.259Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 30 No. 2 (2023): Apr-Jun; 59-612184-9927reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://pjctvs.com/index.php/journal/article/view/259https://pjctvs.com/index.php/journal/article/view/259/322Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgeryinfo:eu-repo/semantics/openAccessFernandes, UrâniaVasconcelos, JoãoMarques, RitaPinto-de-Sousa, JoãoAlmeida Pinto, João2023-07-08T04:40:32ZPortal AgregadorONG
dc.title.none.fl_str_mv Buerger’s Disease – A Clinical Case
title Buerger’s Disease – A Clinical Case
spellingShingle Buerger’s Disease – A Clinical Case
Fernandes, Urânia
Buerger`s disease
thromboangiitis obliterans
limb ischemia
peripheral artery disease
title_short Buerger’s Disease – A Clinical Case
title_full Buerger’s Disease – A Clinical Case
title_fullStr Buerger’s Disease – A Clinical Case
title_full_unstemmed Buerger’s Disease – A Clinical Case
title_sort Buerger’s Disease – A Clinical Case
author Fernandes, Urânia
author_facet Fernandes, Urânia
Vasconcelos, João
Marques, Rita
Pinto-de-Sousa, João
Almeida Pinto, João
author_role author
author2 Vasconcelos, João
Marques, Rita
Pinto-de-Sousa, João
Almeida Pinto, João
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Fernandes, Urânia
Vasconcelos, João
Marques, Rita
Pinto-de-Sousa, João
Almeida Pinto, João
dc.subject.por.fl_str_mv Buerger`s disease
thromboangiitis obliterans
limb ischemia
peripheral artery disease
topic Buerger`s disease
thromboangiitis obliterans
limb ischemia
peripheral artery disease
description Buerger’s disease is a distal segmental nonatherosclerotic vasculopathy that involves the inferior and superior limbs of smoker males younger than 45 years old. This article aims to describe a clinical case and revise the literature about Buerger’s disease. A 45-year-old smoker male repeatedly visited the emergency department for refractory pain and inflammatory signs in the right hallux. After developing ulcers in the right foot, Doppler ultrasonography revealed segmental occlusion of distal arteries of that limb. It was also observed in arteriography “corkscrew” collaterals. Autoimmune, thrombophilic and cardiovascular diseases were excluded. Analgesia, antibiotics and alprostadil were implemented. As a result, the patient stopped smoking and was submitted to minor amputation with complete healing, after which he remained asymptomatic. Buerger’s disease is a diagnosis of exclusion. Therefore, smoking cessation is the most effective treatment and is crucial to prevent disease progression.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-07
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.48729/pjctvs.259
https://doi.org/10.48729/pjctvs.259
url https://doi.org/10.48729/pjctvs.259
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://pjctvs.com/index.php/journal/article/view/259
https://pjctvs.com/index.php/journal/article/view/259/322
dc.rights.driver.fl_str_mv Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR
publisher.none.fl_str_mv SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR
dc.source.none.fl_str_mv Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 30 No. 2 (2023): Apr-Jun; 59-61
2184-9927
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv
repository.mail.fl_str_mv
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