Thromboangiitis obliterans or Buerger’s disease is a rare nonatherosclerotic segmental
inflammatory vasculitis that most commonly involves small and medium-sized arteries,
veins, and nerves of the extremities, and generally affects young tobacco smokers. A
51-year-old man was found to have critical ischemia of his left hand, with necrosis of 3
fingers. He underwent extremely distal surgical revascularization using a cephalic vein
bypass graft.
PuéchalXFiessingerJN. Thromboangiitis obliterans or Buerger’s disease:
challenges for the rheumatologist [Review]. Rheumatology
(Oxford)2007; 46:
192–199.
2.
MillsJLSr. Buerger’s disease in the 21st century: diagnosis,
clinical features, and therapy [Review]. Semin Vasc
Surg2003; 16:
179–189.
3.
FiessingerJNSchäferM. Trial of iloprost versus aspirin treatment for
critical limb ischaemia of thromboangiitis obliterans. The TAO
Study. Lancet1990; 335:
555–557.
