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Thromboangiitis obliterans

MedGen UID:
21531
Concept ID:
C0040021
Disease or Syndrome
Synonyms: Buerger disease; Buerger's disease; Inflammatory occlusive peripheral vascular disease; Occlusive peripheral vascular disease
SNOMED CT: Presenile gangrene (195299000); Thromboangiitis obliterans (52403007); Buerger's disease (52403007)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
Monarch Initiative: MONDO:0008889
OMIM®: 211480
Orphanet: ORPHA36258

Definition

A rare inflammatory, non-necrotizing, non-atherosclerotic, occlusive vascular disease characterized by thrombosis and recanalization affecting small and medium sized arteries and veins of upper and lower extremities. [from ORDO]

Clinical features

From HPO
Pain
MedGen UID:
45282
Concept ID:
C0030193
Sign or Symptom
An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.
Limb pain
MedGen UID:
10540
Concept ID:
C0030196
Sign or Symptom
Chronic pain in the limbs with no clear focal etiology.
Raynaud phenomenon
MedGen UID:
20474
Concept ID:
C0034735
Disease or Syndrome
An episodic vasoconstriction resulting in discoloration of the skin and pain in the affected areas, often involving fingers or toes. Classically associated with triphasic color changes (white, blue, red) but may be biphasic. Often occurs in response to cold temperatures or emotional stress. May be primary or secondary to an underlying autoimmune disease.
Hyperhidrosis
MedGen UID:
5690
Concept ID:
C0020458
Finding
Abnormal excessive perspiration (sweating) despite the lack of appropriate stimuli like hot and humid weather.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVThromboangiitis obliterans
Follow this link to review classifications for Thromboangiitis obliterans in Orphanet.

Professional guidelines

PubMed

Cacione DG, do Carmo Novaes F, Moreno DH
Cochrane Database Syst Rev 2018 Oct 31;10(10):CD012794. doi: 10.1002/14651858.CD012794.pub2. PMID: 30378681Free PMC Article
Modaghegh MS, Hafezi S
Vasc Endovascular Surg 2018 Feb;52(2):124-130. Epub 2017 Dec 13 doi: 10.1177/1538574417744085. PMID: 29237360
Cotton RC, Craven JL
Angiology 1968 May;19(5):307-10. doi: 10.1177/000331976801900507. PMID: 5656796

Recent clinical studies

Etiology

Evans NS, Solomon AL, Ratchford EV
Vasc Med 2024 Oct;29(5):565-568. Epub 2024 Sep 6 doi: 10.1177/1358863X241268450. PMID: 39239807
Liew NC, Lee L, Nor Hanipah Z, Gee T, Jabar MF
Int J Low Extrem Wounds 2015 Sep;14(3):231-5. Epub 2015 Aug 11 doi: 10.1177/1534734615599654. PMID: 26264874
Dargon PT, Landry GJ
Ann Vasc Surg 2012 Aug;26(6):871-80. Epub 2012 Jan 27 doi: 10.1016/j.avsg.2011.11.005. PMID: 22284771
Lie JT
Int J Cardiol 1998 Oct 1;66 Suppl 1:S249-56. doi: 10.1016/s0167-5273(98)00176-4. PMID: 9951827
Tiwari JL, Terasaki PI
Prog Clin Biol Res 1981;58:151-63. PMID: 7022479

Diagnosis

Evans NS, Solomon AL, Ratchford EV
Vasc Med 2024 Oct;29(5):565-568. Epub 2024 Sep 6 doi: 10.1177/1358863X241268450. PMID: 39239807
Dargon PT, Landry GJ
Ann Vasc Surg 2012 Aug;26(6):871-80. Epub 2012 Jan 27 doi: 10.1016/j.avsg.2011.11.005. PMID: 22284771
Olin JW
N Engl J Med 2000 Sep 21;343(12):864-9. doi: 10.1056/NEJM200009213431207. PMID: 10995867
Giblin WJ, James WD, Benson PM
Int J Dermatol 1989 Dec;28(10):638-42. doi: 10.1111/j.1365-4362.1989.tb02432.x. PMID: 2687180
Wessler S
Surg Clin North Am 1969 Jun;49(3):703-13. doi: 10.1016/s0039-6109(16)38862-4. PMID: 4890183

Therapy

Megson M, Collins M, Hobbs S
BMJ Case Rep 2015 Nov 3;2015 doi: 10.1136/bcr-2015-211621. PMID: 26531734Free PMC Article
Liew NC, Lee L, Nor Hanipah Z, Gee T, Jabar MF
Int J Low Extrem Wounds 2015 Sep;14(3):231-5. Epub 2015 Aug 11 doi: 10.1177/1534734615599654. PMID: 26264874
Dargon PT, Landry GJ
Ann Vasc Surg 2012 Aug;26(6):871-80. Epub 2012 Jan 27 doi: 10.1016/j.avsg.2011.11.005. PMID: 22284771
Olin JW
N Engl J Med 2000 Sep 21;343(12):864-9. doi: 10.1056/NEJM200009213431207. PMID: 10995867
Blunt RJ, Porter JM
Semin Arthritis Rheum 1981 May;10(4):282-308. doi: 10.1016/0049-0172(81)90006-8. PMID: 6166048

Prognosis

Zou J, Xu W, Li Z, Gao P, Zhang F, Cui Y, Hu J
Ann Med 2023 Dec;55(1):2218105. doi: 10.1080/07853890.2023.2218105. PMID: 37318081Free PMC Article
Desbois AC, Cacoub P
Ann Vasc Surg 2013 Oct;27(7):996-1005. Epub 2013 Jul 10 doi: 10.1016/j.avsg.2013.01.002. PMID: 23850313
Combemale P, Consort T, Denis-Thelis L, Estival JL, Dupin M, Kanitakis J
Br J Dermatol 2005 Jan;152(1):166-9. doi: 10.1111/j.1365-2133.2005.06340.x. PMID: 15656820
Cho YP, Kwon YM, Kwon TW, Kim GE
Ann Vasc Surg 2003 Mar;17(2):221-3. Epub 2003 Mar 14 doi: 10.1007/s10016-001-0220-7. PMID: 12632269
Lie JT
Int J Cardiol 1998 Oct 1;66 Suppl 1:S249-56. doi: 10.1016/s0167-5273(98)00176-4. PMID: 9951827

Clinical prediction guides

Mohamad Yusoff F, Kajikawa M, Yamaji T, Kishimoto S, Maruhashi T, Nakashima A, Tsuji T, Higashi Y
Sci Rep 2024 Jun 14;14(1):13704. doi: 10.1038/s41598-024-64118-0. PMID: 38871832Free PMC Article
Sousa Silva ÂE, Braga A, Andrade A, Braga JS
BMJ Case Rep 2023 Dec 18;16(12) doi: 10.1136/bcr-2022-252306. PMID: 38110345Free PMC Article
Zou J, Xu W, Li Z, Gao P, Zhang F, Cui Y, Hu J
Ann Med 2023 Dec;55(1):2218105. doi: 10.1080/07853890.2023.2218105. PMID: 37318081Free PMC Article
Gaffo AL
Best Pract Res Clin Rheumatol 2013 Feb;27(1):57-67. doi: 10.1016/j.berh.2012.12.005. PMID: 23507057
Kimura T, Yoshizaki S, Tsushima N, Sano M, Hanai G
Br J Surg 1990 Nov;77(11):1299-301. doi: 10.1002/bjs.1800771134. PMID: 2253015

Recent systematic reviews

Galyfos G, Liakopoulos D, Chamzin A, Sigala F, Filis K
J Vasc Surg 2023 May;77(5):1534-1541.e2. Epub 2022 Sep 26 doi: 10.1016/j.jvs.2022.09.017. PMID: 36174815
Cacione DG, Macedo CR, do Carmo Novaes F, Baptista-Silva JC
Cochrane Database Syst Rev 2020 May 4;5(5):CD011033. doi: 10.1002/14651858.CD011033.pub4. PMID: 32364620Free PMC Article
Fakour F, Fazeli B
Vasc Health Risk Manag 2019;15:317-353. Epub 2019 Aug 15 doi: 10.2147/VHRM.S182450. PMID: 31616151Free PMC Article
Fazeli B, Dadgar Moghadam M, Niroumand S
Ann Vasc Surg 2018 May;49:219-228. Epub 2018 Feb 5 doi: 10.1016/j.avsg.2017.10.022. PMID: 29421414
Grotenhermen F
Vasa 2010 Feb;39(1):43-53. doi: 10.1024/0301-1526/a000004. PMID: 20186675

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