A 35 year old man presents with painful fingertip ulcers and episodic color changes of his hands. He has smoked two packs of cigarettes daily since age 16. Distal pulses are diminished. Angiography shows segmental thrombosing inflammation of small and medium sized vessels. Which of the following is the most likely diagnosis?
- A)Raynaud phenomenon
- B)Takayasu arteritis
- C)Polyarteritis nodosa
- D)Thromboangiitis obliteransGABARITO
- E)Giant cell arteritis
Explicação
Thromboangiitis obliterans, or Buerger disease, occurs in young heavy smokers and causes segmental thrombosing inflammation of small and medium vessels, especially in the extremities. Distal ischemia, ulceration, and Raynaud type symptoms are common. Smoking c... Ver explicação completa e trilha adaptativa →