Buerger's disease (patient information)

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What is Buerger's disease?

How do I know if I have Buerger's disease and 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 ulcers

Who is at risk for Buerger's disease?

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

How to know you have Buerger's 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.