Buerger’s disease: symptoms, treatment, photos
Buerger’s disease (thromboangiitis obliterans) is a rare disease affecting the blood vessels of the hands and feet, especially on the hands and feet. The inflammatory process leads to their narrowing and occlusion, which impairs blood flow, causing pain and other symptoms of the disease.
The causes of the disease Burger
The exact cause of Buerger disease is unknown. However, it is known that it develops in smokers. Smoking acts as a trigger which causes onset of the disease. Continued Smoking also causes the deterioration of the disease burgher. In rare cases, the development of this disease can be caused by chewing tobacco. Scientists believe that the development of obliterative thromboangiitis involved the immune system. In fact, Buerger’s disease may be an autoimmune process that is triggered by nicotine.
The spread of the disease Burger
Thromboangiitis obliterans is rare in people of European descent. It is more common in residents of South-East Asia, India and the Middle East. Buerger’s disease is particularly prevalent among residents of Bangladesh, who smoke homemade cigarettes from raw tobacco. In most patients, the disease develops at the age from 19 to 55 years. It is more common in men. With the growth of indicators of women’s Smoking began to meet cases of the disease, and they have.
The symptoms of the disease Burger
Symptoms develop due to insufficient blood supply to the hands and feet on the legs. They become cold, sometimes a bit swollen, can have a pale, reddish or bluish color. The main symptom obliterating thromboangiitis is a pain in the hands and feet, which may have the nature of burning. First, the leg pain is worse when walking, forcing the man to stop – a so-called intermittent claudication.
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As the progression of the disease the pain syndrome begins to occur at rest, it often worsens at night. People may also note numbness or tingling in the hands or feet. Symptoms usually worsen during the cold weather. In severe Buerger disease patients may develop painful ulcers on the hands and feet, which are sometimes complicated by infections. Due to lack of blood supply to a high risk of developing gangrene in which the affected tissue and skin become black.
Diagnosis of disease Burger
Thromboangiitis obliterans is sometimes difficult to diagnose because the survey method, specific for this disease does not exist. Doctors rule out all other diseases that can cause similar symptoms. Examples of such diseases are:
- Problems with blood clotting.
- Autoimmune diseases.
- Peripheral artery diseases.
- Embolism of the arteries.
With a view to their exclusion are:
- Blood tests help to exclude scleroderma, systemic lupus lupus, coagulation disorders, diabetes.
- Allen test, which assesses the collateral circulation to the hands.
- Ultrasonic Doppler examination, which assesses the blood flow in the vessels of the hands and feet.
- Angiography is radiopaque examination, which can be used to detect occlusion of blood vessels.
Treatment of Buerger disease
The cure of the disease Burger does not exist. Therefore, the aim of treatment is to slow and stop disease progression, and alleviate its symptoms. With this aim we suggest:
- To quit Smoking. This is the most important part of a treatment plan when illness burgher. Even Smoking one cigarette per day keeps the disease activity and allows him to progress.
- The use of medicines. A person with thromboangiitis obliterans any infectious process in the skin of the hands and feet should be treated with antibiotics. It can sometimes take painkillers (non-steroidal anti-inflammatory drugs).
- Surgery. Surgery for diseases of the Burger is aimed at opening blocked arteries. However, if the person continues to smoke, he may again occur occlusion of blood vessels, to appear ulcers and gangrene. When gangrene usually necessary surgical amputation of necrotic tissue. Sometimes, surgical sympathectomy – a surgical procedure in which with the aim of anesthesia cut the nerves innervating the affected area.
Research continues on the drug Iloprost, which is administered to patients with thromboangiitis obliterans intravenous. It helps to relax the walls of blood vessels and improves blood flow. Some patients who quit Smoking, Iloprost:
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- Eased the symptoms.
- Slowed the progression of the disease.
- Reduced the need for amputation.
In addition, people with the disease burgher suggest:
- To avoid the cold.
- To wear suitable footwear to prevent damage to the feet. You cannot walk barefoot.
- Perform light exercises that can improve blood circulation.
- Gentle massage and heat also increase blood flow.
- To avoid prolonged sitting or standing in one position.
- Do not wear thick or tight clothing.