Ejiyooye Toluwalope F, Ajibowo Abimbola O, Dirisanala Sudha, Olagbende Bukola, Ezenagu Uchenna E, Khan Aadil
Family Medicine, Brooke Army Medical Center, San Antonio, USA.
Internal Medicine, Lugansk Medical University, Luhansk, UKR.
Cureus. 2022 May 13;14(5):e24975. doi: 10.7759/cureus.24975. eCollection 2022 May.
Thromboangiitis obliterans (TAO) also known as Buerger's disease is a nonatherosclerotic vasculitis that is more common in adult male smokers. TAO predominantly affects lower extremities, however, cases with bilateral upper extremities involvement are a rare entity and difficult to manage. Symptoms of the disease mostly mimic that of acute ischemia of the limb. Diagnosis is mostly made clinically, however, radiographic vascular evaluation can strengthen the diagnosis. Herein we present a case of a 41-years-old male with a history of chronic smoking whose signs and symptoms were suggestive of TAO in bilateral upper extremities, however, the patient did not respond to smoking cessation and pharmacotherapy for a long time owing to which he underwent amputation after taking proper informed consent.
血栓闭塞性脉管炎（TAO），也称为伯格氏病，是一种非动脉粥样硬化性血管炎，在成年男性吸烟者中更为常见。TAO主要累及下肢，然而，双侧上肢受累的病例是一种罕见情况，且难以处理。该疾病的症状大多类似于肢体急性缺血的症状。诊断主要依靠临床做出，不过，影像学血管评估可强化诊断。在此，我们报告一例41岁男性病例，该患者有长期吸烟史，其体征和症状提示双侧上肢患有TAO，然而，患者长期对戒烟和药物治疗均无反应，因此，在获得适当的知情同意后，患者接受了截肢手术。
