Can anyone help me with a conditon called Buergers Disease - one of my downline has a client suffering with this. Below is an explanation posted in an earlier post.
-- A.D.A.M. Medical Encyclopedia.Thromboangiitis obliteransBuerger's diseaseLast reviewed: March 18, 2011.Thromboangiitis obliterans is a rare disease in which blood vessels ofthe hands and feet become blocked.Causes, incidence, and risk factorsThromboangiitis obliterans (Buerger's disease) is caused by vasculitis(inflammation of the blood vessels).The blood vessels of the hands and feet are especially affected. Theytighten or become totally blocked. The average age when symptoms beginis around 35 years. Woman and older adults are affected less often.Thromboangiitis obliterans mostly affects men ages 20 to 40 who have ahistory of heavy smoking or chewing tobacco. Only 1 out of 10 patientsare women.The condition may also be related to a history of Raynaud's disease.This disorder is very uncommon in children, but it may occur inchildren with autoimmune diseases.SymptomsHands or feet may be pale, red, or bluishHands or feet may feel coldPain in the hands and feetAcute, severeBurning or tinglingOften occurring at restPain in the legs, ankles, or feet when walking (intermittentclaudication)Often located in the arch of the footSkin changes or ulcers on hands or feetNote: Symptoms may worsen with exposure to cold or with emotionalstress. Usually, two or more limbs are affected.Signs and testsThe hands or feet may have large, red, tender blood vessels. The pulsein the affected hands or feet may be low or missing.The following tests may show blockage of blood vessels in the affectedhands or feet:Angiography/arteriography of the extremityDoppler ultrasound of the extremityBlood tests for other causes of vasculitis and inflammation may bedone. Rarely, in cases where the diagnosis is unclear, a biopsy of theblood vessel is done.TreatmentThere is no cure for thromboangiitis obliterans. The goal of treatmentis to control symptoms.The patient must stop using tobacco and should avoid cold temperaturesand other conditions that reduce circulation to the hands and feet.Applying warmth and exercising gently may help increase circulation.Cutting the nerves to the area (surgical sympathectomy) may helpcontrol pain. Aspirin and vasodilators may also used. It may benecessary to amputate the hand or foot if infection or widespreadtissue death occurs.Expectations (prognosis)Symptoms of thromboangiitis obliterans may disappear if the personstops tobacco use. For some, amputation is unavoidable.ComplicationsAmputationGangrene (tissue death)Loss of circulation beyond the affected hand or footCalling your health care providerCall your health care provider if:You have symptoms of thromboangiitis obliteransYou have thromboangiitis obliterans and symptoms get worse, even withtreatmentYou develop new symptomsPreventionThose with a history of Raynaud's disease or thromboangiitisobliterans should avoid all tobacco use
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