A 45-year-old woman with a 30 pack-year smoking history presents with claudication in her right lower extremity that develops after walking approximately 50 meters. She reports the pain resolves completely with rest. Physical examination reveals diminished femoral pulses bilaterally, absent popliteal pulses, and bruits audible over both iliac arteries. Blood pressure is 148/92 mmHg in both arms. Ankle-brachial indices are 0.62 on the right and 0.68 on the left. She denies rest pain, skin ulceration, or color changes. Which of the following is the most likely diagnosis?
- A)Takayasu arteritis
- B)Leriche syndrome (aortoiliac occlusive disease)GABARITO
- C)Thromboangiitis obliterans (Buerger's disease)
- D)Atherosclerotic disease isolated to the superficial femoral artery
- E)Fibromuscular dysplasia of the renal arteries
Explicação
Leriche syndrome is aortoiliac occlusive disease causing claudication in the buttocks, thighs, and calves. The clinical presentation is classic: a middle-aged smoker with bilateral diminished femoral pulses (indicating disease proximal to the femurs at the ili... Ver explicação completa e trilha adaptativa →