Thromboangiitis Obliterans involving Bilateral Upper limb Extremities - A Rare Case Report from Malaysia
Thromboangiitis Obliterans (TAO) or Buerger’s disease is a non-atherosclerotic, occlusive, progressive and highly inflammatory disorder of distal arteries seen predominantly affecting the lower limb in smokers. TAO presenting itself in upper limb or bilaterally involving the upper limb is a very r...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2017-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/9507/23807_CE[Ra]_F(Sh)_PF1(P_SY)_PFA(NC)_PF2(NE_SY_DK).pdf |
| _version_ | 1818156730125647872 |
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| author | Murali Uthamalingam Mohammad Azhar Anis Ahmad Fatin Najihah |
| author_facet | Murali Uthamalingam Mohammad Azhar Anis Ahmad Fatin Najihah |
| author_sort | Murali Uthamalingam |
| collection | DOAJ |
| description | Thromboangiitis Obliterans (TAO) or Buerger’s disease is a non-atherosclerotic, occlusive, progressive and highly inflammatory disorder
of distal arteries seen predominantly affecting the lower limb in smokers. TAO presenting itself in upper limb or bilaterally involving the
upper limb is a very rare entity. We report on a rare case of TAO in a 46-year-old gentleman who presented with bilateral upper extremity
digital gangrene with 18 pack-years of smoking. Brachial and radial pulses were palpable bilaterally and were of good volume but
right ulnar pulse was faintly felt, while on the left side it was not appreciated due to malunion. Further Computed Tomography (ct)-
angiography showed occlusion of distal right ulnar artery, stenosis of distal left ulnar artery with bilateral poor opacification of palmar
and digital arteries. This case reports on the unusual and rare presentation of TAO in upper extremity involving both limbs. The case is
reported for the first time from Malaysia. |
| first_indexed | 2024-12-11T15:02:56Z |
| format | Article |
| id | doaj.art-98ffe52785cb48c78a73d611a595b2dd |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-11T15:02:56Z |
| publishDate | 2017-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-98ffe52785cb48c78a73d611a595b2dd2022-12-22T01:01:04ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-03-01113PD06PD0810.7860/JCDR/2017/23807.9507Thromboangiitis Obliterans involving Bilateral Upper limb Extremities - A Rare Case Report from MalaysiaMurali Uthamalingam0Mohammad Azhar Anis Ahmad1Fatin Najihah2Professor, Department of Surgery, IMS / Management and Science University, Shah Alam, Selangor, Malaysia.Specialist, Department of Surgery, HTAR - Hospital, Shah Alam, Selangor, Malaysia.Student, Department of Surgery, IMS / Management and Science University, Shah Alam, Selangor, Malaysia.Thromboangiitis Obliterans (TAO) or Buerger’s disease is a non-atherosclerotic, occlusive, progressive and highly inflammatory disorder of distal arteries seen predominantly affecting the lower limb in smokers. TAO presenting itself in upper limb or bilaterally involving the upper limb is a very rare entity. We report on a rare case of TAO in a 46-year-old gentleman who presented with bilateral upper extremity digital gangrene with 18 pack-years of smoking. Brachial and radial pulses were palpable bilaterally and were of good volume but right ulnar pulse was faintly felt, while on the left side it was not appreciated due to malunion. Further Computed Tomography (ct)- angiography showed occlusion of distal right ulnar artery, stenosis of distal left ulnar artery with bilateral poor opacification of palmar and digital arteries. This case reports on the unusual and rare presentation of TAO in upper extremity involving both limbs. The case is reported for the first time from Malaysia.https://jcdr.net/articles/PDF/9507/23807_CE[Ra]_F(Sh)_PF1(P_SY)_PFA(NC)_PF2(NE_SY_DK).pdfblackish patchy lesion peripheral pulsesmiddle and index fingersmokingultrasound dopplerupper extremity |
| spellingShingle | Murali Uthamalingam Mohammad Azhar Anis Ahmad Fatin Najihah Thromboangiitis Obliterans involving Bilateral Upper limb Extremities - A Rare Case Report from Malaysia Journal of Clinical and Diagnostic Research blackish patchy lesion peripheral pulses middle and index finger smoking ultrasound doppler upper extremity |
| title | Thromboangiitis Obliterans involving Bilateral Upper limb Extremities - A Rare Case Report from Malaysia |
| title_full | Thromboangiitis Obliterans involving Bilateral Upper limb Extremities - A Rare Case Report from Malaysia |
| title_fullStr | Thromboangiitis Obliterans involving Bilateral Upper limb Extremities - A Rare Case Report from Malaysia |
| title_full_unstemmed | Thromboangiitis Obliterans involving Bilateral Upper limb Extremities - A Rare Case Report from Malaysia |
| title_short | Thromboangiitis Obliterans involving Bilateral Upper limb Extremities - A Rare Case Report from Malaysia |
| title_sort | thromboangiitis obliterans involving bilateral upper limb extremities a rare case report from malaysia |
| topic | blackish patchy lesion peripheral pulses middle and index finger smoking ultrasound doppler upper extremity |
| url | https://jcdr.net/articles/PDF/9507/23807_CE[Ra]_F(Sh)_PF1(P_SY)_PFA(NC)_PF2(NE_SY_DK).pdf |
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