Megoldatlan terápia - Komplex kezelés Buerger-kór esetén

Szomják Edit, Dér Henrietta, Kerekes György, Veres Katalin, Dezso Balázs, Takács István, Tóth Judit, Péter Mózes, Soltész Pál

Research output: Article

Abstract

INTRODUCTION - Buerger's disease is a non-atherosclerotic, segmental, inflammatory, progressive obi iterative disease of the blood vessels that most commonly affects the small and medium-sized arteries and also the veins of the lower limb. It is strongly associated with tobacco use. CASE REPORT - A 37-year-old heavy smoker forest worker presented with severe gangrenous changes on the fingers as the upper limb manifestations of Buerger's disease, which required acral amputation. After complex medical treatment, pharmacological sympathectomy on the left side and surgical sympathectomy on the right side, bilateral conserving necrectomy, cessation of smoking and 2 cycles of cyclophosphamid, the patient's status significantly improved, his pain diminished and, although to a limited extent, he could use both hands. CONCLUSIONS - Buerger's disease is a disorder with unclear aethiology and is difficult to diagnose. Despite of a good prognosis, a causal treatment is not yet possible, so any antithrombotic, haemorheological, vasodilator or immunosuppressive therapy that have been reported to have beneficial effect should be considered for treatment.

Original languageHungarian
Pages (from-to)493-497
Number of pages5
JournalLege Artis Medicinae
Volume18
Issue number6-7
Publication statusPublished - júl. 1 2008

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Keywords

  • Atherosclerosis
  • Buerger's disease
  • Peripheral arterial disease
  • Risk factors

ASJC Scopus subject areas

  • Medicine(all)

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