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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

Sachdeva M, Mufti A, Maliyar K, Lara-Corrales I, Salcido R, Sibbald C
Adv Skin Wound Care 2021 Jul 1;34(7):348-354. doi: 10.1097/01.ASW.0000752692.72055.74. PMID: 34125725
Li G, Zefr C, Yang B, He C, Hafner F, Pang H
Ann Palliat Med 2020 Jul;9(4):1696-1707. Epub 2020 Jul 14 doi: 10.21037/apm-19-578. PMID: 32692190
Modaghegh MS, Hafezi S
Vasc Endovascular Surg 2018 Feb;52(2):124-130. Epub 2017 Dec 13 doi: 10.1177/1538574417744085. PMID: 29237360

Recent clinical studies

Etiology

Klein-Weigel PF, Richter JG
Vasa 2014 Sep;43(5):337-46. doi: 10.1024/0301-1526/a000371. PMID: 25147010
Wu W, Chaer RA
Surg Clin North Am 2013 Aug;93(4):833-75, viii. Epub 2013 Jun 17 doi: 10.1016/j.suc.2013.04.003. PMID: 23885934
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
Gaffo AL
Best Pract Res Clin Rheumatol 2013 Feb;27(1):57-67. doi: 10.1016/j.berh.2012.12.005. PMID: 23507057
Grotenhermen F
Vasa 2010 Feb;39(1):43-53. doi: 10.1024/0301-1526/a000004. PMID: 20186675

Diagnosis

Le Joncour A, Espitia O, Soudet S, Cacoub P, Lambert M, Saadoun D
J Vasc Res 2021;58(2):131-133. Epub 2021 Jan 12 doi: 10.1159/000512596. PMID: 33434911
Małecki R, Kluz J, Przeździecka-Dołyk J, Adamiec R
Adv Clin Exp Med 2015 Nov-Dec;24(6):1085-97. doi: 10.17219/acem/33322. PMID: 26771983
Klein-Weigel PF, Richter JG
Vasa 2014 Sep;43(5):337-46. doi: 10.1024/0301-1526/a000371. PMID: 25147010
Wu W, Chaer RA
Surg Clin North Am 2013 Aug;93(4):833-75, viii. Epub 2013 Jun 17 doi: 10.1016/j.suc.2013.04.003. PMID: 23885934
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

Therapy

Wu W, Chaer RA
Surg Clin North Am 2013 Aug;93(4):833-75, viii. Epub 2013 Jun 17 doi: 10.1016/j.suc.2013.04.003. PMID: 23885934
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
Gaffo AL
Best Pract Res Clin Rheumatol 2013 Feb;27(1):57-67. doi: 10.1016/j.berh.2012.12.005. PMID: 23507057
Grotenhermen F
Vasa 2010 Feb;39(1):43-53. doi: 10.1024/0301-1526/a000004. PMID: 20186675
Swainston Harrison T, Plosker GL
Drugs 2007;67(1):109-18; discussion 119-20. doi: 10.2165/00003495-200767010-00010. PMID: 17209669

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
Le Joncour A, Espitia O, Soudet S, Cacoub P, Lambert M, Saadoun D
J Vasc Res 2021;58(2):131-133. Epub 2021 Jan 12 doi: 10.1159/000512596. PMID: 33434911
Małecki R, Kluz J, Przeździecka-Dołyk J, Adamiec R
Adv Clin Exp Med 2015 Nov-Dec;24(6):1085-97. doi: 10.17219/acem/33322. PMID: 26771983
Klein-Weigel PF, Richter JG
Vasa 2014 Sep;43(5):337-46. doi: 10.1024/0301-1526/a000371. PMID: 25147010
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

Clinical prediction guides

Liu Z, Ning W, Liang J, Zhang T, Yang Q, Zhang J, Xie M
Eur J Med Res 2023 Dec 2;28(1):551. doi: 10.1186/s40001-023-01540-6. PMID: 38042838Free 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
Małecki R, Kluz J, Przeździecka-Dołyk J, Adamiec R
Adv Clin Exp Med 2015 Nov-Dec;24(6):1085-97. doi: 10.17219/acem/33322. PMID: 26771983
Klein-Weigel PF, Richter JG
Vasa 2014 Sep;43(5):337-46. doi: 10.1024/0301-1526/a000371. PMID: 25147010
Gaffo AL
Best Pract Res Clin Rheumatol 2013 Feb;27(1):57-67. doi: 10.1016/j.berh.2012.12.005. PMID: 23507057

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
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
Cacione DG, Macedo CR, Baptista-Silva JC
Cochrane Database Syst Rev 2016 Mar 11;3(3):CD011033. doi: 10.1002/14651858.CD011033.pub3. PMID: 26967103Free PMC Article
Grotenhermen F
Vasa 2010 Feb;39(1):43-53. doi: 10.1024/0301-1526/a000004. PMID: 20186675

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