The Rare Case of Thromboangiitis Obliterans in a Patient Previously Diagnosed with a Stroke


The Rare Case of Thromboangiitis Obliterans in a Patient Previously Diagnosed with a Stroke


Niki Parikh and Franklyn Babb

Texas Tech University Health Sciences Center, Department of Family Medicine, 3601 4th Street, STOP 8312, Lubbock, TX 79430-8312


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Thromboangiitis obliterans (Buerger’s disease) is a disease of small and medium-sized vasculature, mainly involving the distal upper and lower extremities in male patients under the age of 45. Smoking tobacco is considered to be a predisposing and triggering agent. This presentation discusses the case of JS, a 35-year old male patient who initially presented with a stroke, followed by pain and swelling in the upper extremity, and finally with pain, absent peripheral pulses, and necrosis of the left lower extremity requiring below knee amputation. This case is of interest due to the rarity of this disease in the developed world, the presentation of a stroke in a young patient later diagnosed with thromboangiitis obliterans, and the use of a prostaglandin analog in treatment. This case highlights the difficulty of making the diagnosis of vasculitis and the time consuming, multispecialty approach that is required. The availability of subspecialists, medical record integration, communication between community hospitals, and the drug Iloprost could have positively affected the patient’s outcomes and prognosis.


Keywords: thromboangiitis obliterans, buerger, winiwarter-buerger, iloprost, smoking


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How to cite this article:

Niki Parikh and Franklyn Babb. The Rare Case of Thromboangiitis Obliterans in a Patient Previously Diagnosed with a Stroke. International Journal of Case Reports, 2019 4:71. DOI: 10.28933/ijcr-2019-03-1005


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