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Thromboangiitis Obliterans/ Buerger's (Patho with S&S (Acute phase…
Thromboangiitis Obliterans/ Buerger's
What is it?
usually in extremities (rare: brain, heart, lungs, renal)
recurring inflammation of arteries/veins
Incidences
tobacco, marijuana, chrn. periodontal infection
similar to PAD/ scleroderma
young men, <45 yrs
Patho with S&S
Acute phase
inflammatory thrombosis forms = blocks vessel = inflammation leaves
Chronic Phase
thrombosis + fibrosis= tissue ischemia
intermittent claudication, rest pain, color/temp change,
paresthesia, superficial vein thrombosis, cold sensitive
Treatment
Conservative care:
avoid limb cold exposure
supervised walking program
stop smoking/ marijuana
Avoid trauma/ antibiotics for infection
Medication/Surgery
sympathectomy/ implantaion
+blood flow, -pain
bypass sugury
IV prostanoid: iloprost
+healing ulcer, -pain, prevent amputation
amputation (extreme)