Buerger's disease (patient information): Difference between revisions

Jump to navigation Jump to search
m (Bot: Adding CME Category::Cardiology)
 
(27 intermediate revisions by 6 users not shown)
Line 1: Line 1:
__NOTOC__
'''For the WikiDoc page for this topic, click [[Buerger's disease|here]]'''
'''For the WikiDoc page for this topic, click [[Buerger's disease|here]]'''
{{Buerger's diseae (patient information)}}


{{SI}}
{{CMG}}; '''Associate Editors-In-Chief''':  Jinhui Wu, MD [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]] [mailto:urastogi@perfuse.org]


{{CMG}};  Jinhui Wu, MD
==Overview==
Buerger's disease, also called thromboangiitis obliterans, is a rare disease in which blood vessels of the hands and feet become obstructed. Clinical data demonstrate that smoking is the common risk factor of Buerger's disease. Usual signs and symptoms include [[pain]] and [[weakness]], or [[swelling]] in the legs and feet or arms and hands. Tests, such as a Doppler ultrasound of the extremity and [[angiogram]], may tell the damage of the vessles. Blood tests are used to rule out other diseases such as [[scleroderma]] or [[systemic lupus erythematosus]]. Treatments of Buerger's disease include medications to improve the circulation and [[surgrery]]. Keep a good life-style is very important for prevention, treatment and prognosis of Buerger's disease.


{{EJ}}
==What are the symptoms of Buerger's disease?==
Patients with Buerger's disease may experience symptoms as the following:
*[[Pain]] and [[weakness]] in the legs and feet or arms and hands
*[[Swelling]] in your feet and hands
*Fingers and toes that turn pale when exposed to cold ([[Raynaud's phenomenon]])
*Skin [[ulcer]]s
 
Diseases with similar symptoms:
*[[Atherosclerosis]]
*[[Raynaud phenomenon]]
*[[Frostbite]]
*[[Scleroderma]]
*[[Systemic lupus erythematosus]]
 
==What causes Buerger's disease?==
Thromboangiitis obliterans (Buerger's disease) is caused by [[vasculitis]] (inflammation of the blood vessels).
 
The blood vessels of the hands and feet are especially affected. They tighten or become totally blocked. The average age when symptoms begin is around 35 years. Woman and older adults are affected less often.


==What is Buerger's disease?==
Thromboangiitis obliterans mostly affects men ages 20 to 40 who have a history of heavy smoking or chewing tobacco. Only 1 out of 10 patients are women.


==How do I know if I have Buerger's disease and what are the symptoms of Buerger's disease?==
The condition may also be related to a history of Raynaud's disease.
Patients with Buerger's disease may experience symptoms as the following:
:*[[Pain]] and [[weakness]] in the legs and feet or arms and hands
:*[[Swelling]] in your feet and hands
:*Fingers and toes that turn pale when exposed to cold ([[Raynaud's phenomenon]])
:*Skin [[ulcer]]s


==Who is at risk for Buerger's disease?==
This disorder is very uncommon in children, but it may occur in children with autoimmune diseases.
:*Smoking
:*Patients with medical history of [[Raynaud's disease]] or [[autoimmune disease]]s
:*Race: Buerger disease is relatively more common in people of natives of India, Korea, and Japan, and Israeli Jews of Ashkenazi descent.
:*Gender: Buerger disease is as 3 times as common in males than in female.  
:*Age between 20~45 years


==How to know you have Buerger's disease?==
==Who is at highest risk?==
:*Blood tests: Blood tests, including [[complete blood count]], [[glucose]], [[liver function]] test, serum [[creatinine]] determination, [[erythrocyte sedimentation rate]], [[C-reactive protein]], [[antinuclear antibody]], [[rheumatoid factor]], [[anticentromere antibody]], [[antiphospholipid antibodies]] may help rule out diseases such as [[diabetes]], [[scleroderma]], [[systemic lupus erythematosus]] and other disorders.
*Smoking
*Patients with medical history of [[Raynaud's disease]] or [[autoimmune disease]]s
*Race: Buerger disease is relatively more common in people of natives of India, Korea, and Japan, and Israeli Jews of Ashkenazi descent.
*Gender: Buerger disease is as 3 times as common in males than in female.  
*Age between 20~45 years


==When to seek urgent medical care?==
==When to seek urgent medical care?==
Call your health care provider if symptoms of Buerger's disease develop.
==Diagnosis==
Physicians will run the following test to confirm the disease:
*Blood tests: Blood tests, including [[complete blood count]], [[glucose]], [[liver function]] test, serum [[creatinine]] determination, [[erythrocyte sedimentation rate]], [[C-reactive protein]], [[antinuclear antibody]], [[rheumatoid factor]], [[anticentromere antibody]], [[antiphospholipid antibodies]] may help rule out diseases such as [[diabetes]], [[scleroderma]], [[systemic lupus erythematosus]] and other disorders.
*[[The Allen's test]]: The goal of this test is to check the function of your vessles. During the procedure, the patient is asked to make a tight fist. And, the doctor presses on the arteries at each side of the wrist. These two steps can decrease the flow of blood into the hands and make your hands lose color. Then, you are asked to open your hands and the doctor releases the pressure on one artery and another. The doctor will record the time for your hands to return to general appearance. Patients with Buerger's disease may slow blood flow into the hands.
*A Doppler ultrasound of the extremity: This test uses ultrasound to examine the blood flow in your arteries and veins. Patients with Buerger's disease may show signs of narrowing or closure, and the arteries have normal blood pressure.
*[[Angiogram]]: This test can detect early signs of vessel damage and help the doctor know the condition of your arteries. During the procedure, the dye is injected into an artery and then take X-rays image. On images, patients with Buerger's disease may show signs of blockages in the artery.


==Treatment options==
==Treatment options==
 
The goal of treatment for Buerger's diseasa is to control symptoms.
==Diseases with similar symptoms==
*Quitting smoking
*Keep warm and do regular exercises may help increase circulation.
*[[Medication]]s: The following medications have shown somewhat effective in improving distal blood flow and relieve symptoms.
:*[[Iloprost]], a prostaglandin analogue
:*Stem cell injection
:*[[Streptokinase]]
*[[Surgery]]: Cutting the nerves in the affected area may help control [[pain]].
*[[Amputation]]: This treatment is used when [[infection]] or [[gangrene]] occurs.


==Where to find medical care for Buerger's disease?==
==Where to find medical care for Buerger's disease?==
[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Buerger's disease}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating Buerger's disease]
[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|Buerger's disease}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating Buerger's disease]
==Prevention of Buerger's disease==


==What to expect (Outlook/Prognosis)?==
==What to expect (Outlook/Prognosis)?==
Prognosis of Buerger's disease varies from person to person, depending on:
*The patient's life-style
*The severity of the damaged vessles


==Copyleft Sources==
==Possible complications==
http://www.mayoclinic.com/health/buergers-disease/ds00807
*Give up smoking
*Keep warm


http://emedicine.medscape.com/article/460027-overview
The disease might can complications like:
* Amputation
* Gangrene (tissue death)
* Loss of circulation beyond the affected hand or foot


==Sources==
http://www.nlm.nih.gov/medlineplus/ency/article/000172.htm
http://www.nlm.nih.gov/medlineplus/ency/article/000172.htm
http://www.orpha.net/data/patho/GB/uk-buerger.pdf
http://www.ayushveda.com/healthcare/buergers-disease.htm
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Patient Information]]
[[CME Category::Cardiology]]
 
[[Category:Patient information]]
[[Category:Cardiovascular diseases]]
[[Category:Angiology]]
[[Category:Cardiology]]
[[Category:Rheumatology]]

Latest revision as of 05:55, 15 March 2016

For the WikiDoc page for this topic, click here

Buerger's disease

Overview

What are the symptoms?

What are the causes?

Who is at highest risk?

When to seek urgent medical care?

Diagnosis

Treatment options

Where to find medical care for Buerger's disease?

What to expect (Outlook/Prognosis)?

Possible complications

Buerger's disease On the Web

Ongoing Trials at Clinical Trials.gov

Images of Buerger's disease

Videos on Buerger's disease

FDA on Buerger's disease

CDC on Buerger's disease

Buerger's disease in the news

Blogs on Buerger's disease

Directions to Hospitals Treating Buerger's disease

Risk calculators and risk factors for Buerger's disease

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Jinhui Wu, MD Ujjwal Rastogi, MBBS [2]

Overview

Buerger's disease, also called thromboangiitis obliterans, is a rare disease in which blood vessels of the hands and feet become obstructed. Clinical data demonstrate that smoking is the common risk factor of Buerger's disease. Usual signs and symptoms include pain and weakness, or swelling in the legs and feet or arms and hands. Tests, such as a Doppler ultrasound of the extremity and angiogram, may tell the damage of the vessles. Blood tests are used to rule out other diseases such as scleroderma or systemic lupus erythematosus. Treatments of Buerger's disease include medications to improve the circulation and surgrery. Keep a good life-style is very important for prevention, treatment and prognosis of Buerger's disease.

What are the symptoms of Buerger's disease?

Patients with Buerger's disease may experience symptoms as the following:

Diseases with similar symptoms:

What causes Buerger's disease?

Thromboangiitis obliterans (Buerger's disease) is caused by vasculitis (inflammation of the blood vessels).

The blood vessels of the hands and feet are especially affected. They tighten or become totally blocked. The average age when symptoms begin is around 35 years. Woman and older adults are affected less often.

Thromboangiitis obliterans mostly affects men ages 20 to 40 who have a history of heavy smoking or chewing tobacco. Only 1 out of 10 patients are women.

The condition may also be related to a history of Raynaud's disease.

This disorder is very uncommon in children, but it may occur in children with autoimmune diseases.

Who is at highest risk?

  • Smoking
  • Patients with medical history of Raynaud's disease or autoimmune diseases
  • Race: Buerger disease is relatively more common in people of natives of India, Korea, and Japan, and Israeli Jews of Ashkenazi descent.
  • Gender: Buerger disease is as 3 times as common in males than in female.
  • Age between 20~45 years

When to seek urgent medical care?

Call your health care provider if symptoms of Buerger's disease develop.

Diagnosis

Physicians will run the following test to confirm the disease:

  • Blood tests: Blood tests, including complete blood count, glucose, liver function test, serum creatinine determination, erythrocyte sedimentation rate, C-reactive protein, antinuclear antibody, rheumatoid factor, anticentromere antibody, antiphospholipid antibodies may help rule out diseases such as diabetes, scleroderma, systemic lupus erythematosus and other disorders.
  • The Allen's test: The goal of this test is to check the function of your vessles. During the procedure, the patient is asked to make a tight fist. And, the doctor presses on the arteries at each side of the wrist. These two steps can decrease the flow of blood into the hands and make your hands lose color. Then, you are asked to open your hands and the doctor releases the pressure on one artery and another. The doctor will record the time for your hands to return to general appearance. Patients with Buerger's disease may slow blood flow into the hands.
  • A Doppler ultrasound of the extremity: This test uses ultrasound to examine the blood flow in your arteries and veins. Patients with Buerger's disease may show signs of narrowing or closure, and the arteries have normal blood pressure.
  • Angiogram: This test can detect early signs of vessel damage and help the doctor know the condition of your arteries. During the procedure, the dye is injected into an artery and then take X-rays image. On images, patients with Buerger's disease may show signs of blockages in the artery.

Treatment options

The goal of treatment for Buerger's diseasa is to control symptoms.

  • Quitting smoking
  • Keep warm and do regular exercises may help increase circulation.
  • Medications: The following medications have shown somewhat effective in improving distal blood flow and relieve symptoms.

Where to find medical care for Buerger's disease?

Directions to Hospitals Treating Buerger's disease

What to expect (Outlook/Prognosis)?

Prognosis of Buerger's disease varies from person to person, depending on:

  • The patient's life-style
  • The severity of the damaged vessles

Possible complications

  • Give up smoking
  • Keep warm

The disease might can complications like:

  • Amputation
  • Gangrene (tissue death)
  • Loss of circulation beyond the affected hand or foot

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/000172.htm Template:WH Template:WS CME Category::Cardiology