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    Buergers Disease

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    Intania Fadilla
    Buerger's disease is a condition that causes inflammation and blood clots in the arteries and veins of the hands and feet. It typically affects male smokers aged 20-40. The main symptoms are pain, numbness, skin ulcers, and gangrene in the fingers and toes. Quitting smoking is essential to prevent progression of the disease. Treatment focuses on pain management, improving blood flow, and amputation of non-healing areas. Prognosis is good if smoking cessation is achieved, but infection or gangrene may require limb amputation.

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    Buergers Disease

    Uploaded by

    Intania Fadilla
    36 views24 pages
    Buerger's disease is a condition that causes inflammation and blood clots in the arteries and veins of the hands and feet. It typically affects male smokers aged 20-40. The main symptoms are pain, numbness, skin ulcers, and gangrene in the fingers and toes. Quitting smoking is essential to prevent progression of the disease. Treatment focuses on pain management, improving blood flow, and amputation of non-healing areas. Prognosis is good if smoking cessation is achieved, but infection or gangrene may require limb amputation.

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    buergers disease

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    Buerger's disease is a condition that causes inflammation and blood clots in the arteries and veins of the hands and feet. It typically affects male smokers aged 20-40. The main symptoms are pain, numbness, skin ulcers, and gangrene in the fingers and toes. Quitting smoking is essential to prevent progression of the disease. Treatment focuses on pain management, improving blood flow, and amputation of non-healing areas. Prognosis is good if smoking cessation is achieved, but infection or gangrene may require limb amputation.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    36 views24 pages

    Buergers Disease

    Uploaded by

    Intania Fadilla
    Buerger's disease is a condition that causes inflammation and blood clots in the arteries and veins of the hands and feet. It typically affects male smokers aged 20-40. The main symptoms are pain, numbness, skin ulcers, and gangrene in the fingers and toes. Quitting smoking is essential to prevent progression of the disease. Treatment focuses on pain management, improving blood flow, and amputation of non-healing areas. Prognosis is good if smoking cessation is achieved, but infection or gangrene may require limb amputation.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 24

    Buergers

    Disease
    Dr Putra Hendra SpPD
    UNIBA
    Buergers Disease

    Buerger's disease (thromboangiitis


    obliterans) : combination of acute
    inflammation and thrombosis of the
    arteries and veins in the hands and feet.
    The obstruction of blood vessels in the
    hands and feet sakit dan kerusakan
    jaringan ulkus dan gangren jari2.
    Buergers Disease: Appearance
    Ulcers and Gangrene caused by Buergers
    Disease
    Epidemiologi

    Dialami oleh 6 dari 10000 manusia


    Biasanya pria umur 20-40 dan merokok
    Banyak dialami penduduk asia, India dan
    Timur tengah
    etiology
    Tidak jelas
    external factors: tobacco, cold or humid
    weather, chronic trauma, infection
    internal factors: immunologic
    dysfunction
    exposure to tobacco is essential for
    both initiation and progression of the
    disease.
    Pathology
    1 begin with artery, then vein, from
    distal to proximal.
    2 segmental disease
    3 in active stage, nonsuppurtive
    inflammation
    4 in end stage, intraluminal thrombosis
    progressively organizes, new capillary
    formation, vascular fibrosis
    5 ischemic change
    Diagnosis
    1 Age younger than 45 years, current (or
    recent) history of tobacco use
    2 Presence of distal-extremity ischemia
    3 History of migratory superficial
    thrombophlebitis
    4 Impaired distal pulses.
    5 Exclusion of autoimmune diseases,
    hypercoagulable states, and diabetes mellitus
    by laboratory tests
    Buergers Disease: Symptoms
    Enlarged, red, tender cord-like veins
    Pain or tenderness
    Numbness and tingling in the limbs
    Skin ulcers or gangrene of the digits

    Discoloration
    Two or more limbs affected
    Pain may increase with activity such as walking and
    decrease with rest
    Pulse may be decreased or absent in the affected extremity
    Symptoms may worsen with exposure to cold or with
    emotional stress
    Clinical Features
    Usually presents as claudication, rest pain

    Features Atherosclerosis Buergers Ds


    Age > 40yo 20-45yo
    Other risk factors +++ no
    Upper extremity
    rare Up to 90%
    involvement
    Proximal vessel
    +++ rare
    involvement
    Pulse exam decreased preserved
    Superficial
    no Up to 40%
    Thrombophlebitis
    Clinical findings
    1 The hands and feet are usually cool.
    2 skin is pale, or cyanosis.
    3 Paresthesias.
    4 pain in limbs,
    intermittent claudication
    5 changes of nutritional dysfunction
    Clinical stage
    First stage: local ischemic stage
    Second stage: nutritional ischemic stage
    Third stage: necrotic stage
    Special examination
    1 Doppler examination
    2 arteriography: formation of distinctive
    small-vessel collaterals around areas of
    occlusion known as "corkscrew
    collaterals"
    Normal and Abnormal Angiograms
    Buergers Disease:
    Angiogram
    Angiogram of the Hand

    Normal In Buergers Disease


    Buergers Disease: Treatment

    Theonly method known to be an effective


    treatment for Buerger's disease is
    immediately quitting smoking. Patients who
    continue to smoke after a diagnosis of
    Buerger's disease will generally require
    amputation of the fingers and toes.

    Sincethere is no cure for Buerger's disease,


    the goal of treatment is to control
    symptoms.
    Treatment

    1 General treatment
    Absolute discontinuation of tobacco use
    is the only strategy proven to prevent
    the progression of Buerger disease.
    prevent trauma and thermal or chemical
    injury, avoidance of cold environments,
    drugs that lead to vasoconstriction
    Buerger exercise
    Medication

    (1) vasodilators, antiplatelet drugs, and


    anticoagulants
    (2) antibiotics to treat infected ulcers
    3 hypertension oxygen treatment
    4 surgical treatment
    to improve distal arterial flow
    (1) lumber sympathectomy
    (2) vascular reconstructive procedures :
    bypass transfer, thrombosis
    Others: Omental transfer
    Arteriovenous transfer
    5 distal limb amputation for nonhealing
    ulcers, gangrene
    Buergers Disease: Prevention

    To avoid the onset of Buerger's


    disease, tobacco use should be
    avoided, particularly by men.
    Buergers Disease: Prognosis
    Gejala dapat menghilang bila
    merokok dihentikan is stopped.
    Bila ada infection atau gangrene
    mungkin perlu amputasi.
    Buergers Disease: Symptom
    Control

    Gentle massage and warmth to increase


    circulation
    Avoid conditions that reduce circulation to the
    extremities
    Avoid sitting or standing in one position for
    long periods
    Do not walk barefoot to avoid injury
    Do not wear tight or restrictive clothing
    Report all injuries to physician for appropriate
    treatment
    Some People Just CANT Quit!
    (Even if it costs an arm & a leg!)

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