Femoral necrosis due to occlusion of the left common iliac artery in a patient with thromboangiitis obliterans

Femoral necrosis due to occlusion of the left common iliac artery in a patient with thromboangiitis obliterans
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DOI:
10.1163/1568569053749967
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发表时间:
2005-06
期刊:
Pain Clinic
影响因子:
--
通讯作者:
K. Nishikawa;F. Goto
K. Nishikawa;F. Goto
中科院分区:
其他
文献类型:
--
作者:
K. Nishikawa;F. Goto

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摘要血栓闭塞性脉管炎(布尔格病)是一种病因不明的非动脉硬化性炎症性血管疾病,几乎仅发生在年轻男性吸烟者中。小动脉和静脉受累会导致四肢远端缺血性变化。作者报告了一名 38 岁男性患有布尔格病的罕见病例,该男性有数年吸烟史(每天 20 支烟),表现为左髂总动脉突然血管闭塞导致左股骨区域急性坏死。该病例提示近端动脉可能与布尔格病有关,而布尔格病患者存在疾病近端进展的风险。
AbstractThromboangiitis obliterans (Buerger's disease) is a non-arteriosclerotic inflammatory vascular disease of unknown etiology that occurs almost exclusively in young male smokers. Involvement of small arteries and veins leads to ischemic changes in the distal extremities. The authors report an unusual case of Buerger's disease in a 38-year-old man, who had a smoking history (20 cigarettes/day) of several years, presenting as acute necrosis of the left femoral region due to abrupt vascular occlusion of the left common iliac artery. This case suggests that the proximal arteries can be involved in Buerger's disease, and that patients with Buerger's disease are at risk for proximal progression of the disease.