Leavitt R Y, Bressler P, Fauci A S
Am J Med. 1986 May;80(5):1003-5. doi: 10.1016/0002-9343(86)90654-6.
Buerger's disease or thromboangiitis obliterans is characterized by peripheral arterial occlusions in young male cigarette smokers. It is rarely considered in the differential diagnosis of vascular disease in women, although there have been several well-documented cases in the literature. This report presents a young woman with both angiographic and histopathologic evidence for Buerger's disease who was initially treated with daily corticosteroids for presumed vasculitis. This case emphasizes the fact that Buerger's disease can present in a fashion similar to both vasculitis and collagen vascular disease.
血栓闭塞性脉管炎(Buerger病)的特征是年轻男性吸烟者出现外周动脉闭塞。在女性血管疾病的鉴别诊断中很少考虑到该病,尽管文献中有几例记录详实的病例。本报告介绍了一名年轻女性,她有血管造影和组织病理学证据支持Buerger病,最初因疑似血管炎而接受每日糖皮质激素治疗。该病例强调了一个事实,即Buerger病可能以与血管炎和胶原血管病相似的方式出现。