Buerger's Disease (Thromboangiitis Obliterans) Quiz
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Feet cold
Skin pale
Sores or ulcers of the skin
Pain in the arm
I can't bend my toes because of both pains
Pain in both hands
Blue discoloration of my fingers/toes
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What is Buerger's Disease (Thromboangiitis Obliterans)?
This is a rare inflammatory disease affecting the arms and legs due to blood clots of the small and medium-sized arteries and veins. It is not due to blockage from fats and cholesterols. It tends to happen in younger men who are heavy smokers and can lead to complete loss of blood to fingertips requiring amputation.
Typical Symptoms of Buerger's Disease (Thromboangiitis Obliterans)
- Bluish or pale skin
- Cold hands and feet
- Tingling or pricking numbness or pain in the legs that improves after a period of rest
- Numbness or tingling in my toes
- Areas of irritated or peeling skin
- Numbness in the fingers
- Arm pain
- Finger pain
Diagnostic Questions for Buerger's Disease (Thromboangiitis Obliterans)
Your doctor may ask these questions to check for this disease:
- Do you have any bluish or pale skin?
- Do you often have cold hands and feet?
- Are you able to exercise again after your pain and numbness improve with rest?
- Do you experience numbness or tingling in your toes?
- Do you have areas of irritated or peeling skin?
Treatment of Buerger's Disease (Thromboangiitis Obliterans)
Complete cessation of smoking is the only way to prevent and treat the disease. In severe cases where blood flow has been completely cut off from the limb or digit, amputation may be necessary to prevent infection from spreading to the rest of the body.
Reviewed By:
Kenji Taylor, MD, MSc (Family Medicine, Primary Care)
Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.
Kaito Nakamura, MD (Rheumatology)
Dr. Nakamura is a rheumatologist who has practiced in the Ota Nishinouchi Hospital attached to Ota General Hospital, National Health Insurance Matsudo City Hospital, Chiba University Hospital, and the National Health Insurance Asahi Central Hospital.
Content updated on Feb 19, 2025
Following the Medical Content Editorial Policy
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- Numbness in fingers
- My hands and feet are cold
- Pale skin
- Cold hands
- Toe numbness
- Cold hands
- Cold hands and feet
- Finger joint pain
- Cold legs
- Circulation issues in hands
- Fingers turn blue
- Toe tingling
- Cold extremities
- Discoloration of fingers or toes
- Fingers turn blue when cold
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Symptoms Related to Buerger's Disease (Thromboangiitis Obliterans)
Diseases Related to Buerger's Disease (Thromboangiitis Obliterans)
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Mills JL (2001). Buerger's disease in the 21st century: diagnosis, clinical features, and therapy. Seminars in vascular surgery.
https://pubmed.ncbi.nlm.nih.gov/12975757/Del Conde I, Peña C (2015). Buerger disease (thromboangiitis obliterans). Techniques in vascular and interventional radiology.
https://pubmed.ncbi.nlm.nih.gov/25770636/Olin JW, Young JR, Graor RA, Ruschhaupt WF, Bartholomew JR (1990). The changing clinical spectrum of thromboangiitis obliterans (Buerger's disease). Circulation.
https://pubmed.ncbi.nlm.nih.gov/2225420/