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Thromboangiitis obliterans

Alternative names:

Buerger's disease

Symptoms:

  • pain or tenderness in the hands and feet

  • pain in the legs or hands (intermittent claudication)
    • often located in the arch of the foot
    • increased with activity, decreased with rest

  • skin changes or ulcers of the hands or feet
  • hand or foot may be pale or red or bluish
  • hand or foot may feel cold

Note: Symptoms may worsen with exposure to cold or with emotional stress.

Signs and tests:

The hands or feet may show visible enlarged, red, tender cord-like veins. Pulse may be decreased or absent in the affected extremity.

Blockage of blood vessels in the extremity may show on:

Final confirmation of the diagnosis may require biopsy of the blood vessel.


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