Painful digital infarction in a male smoker treated as Buerger's disease

Foley, Susan, Gibbs, Harry and Muir, James (2008) Painful digital infarction in a male smoker treated as Buerger's disease. Australasian Journal of Dermatology, 49 2: 94-97. doi:10.1111/j.1440-0960.2008.00432.x


Author Foley, Susan
Gibbs, Harry
Muir, James
Title Painful digital infarction in a male smoker treated as Buerger's disease
Journal name Australasian Journal of Dermatology   Check publisher's open access policy
ISSN 0004-8380
1440-0960
Publication date 2008
Sub-type Article (original research)
DOI 10.1111/j.1440-0960.2008.00432.x
Volume 49
Issue 2
Start page 94
End page 97
Total pages 4
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Subject 11 Medical and Health Sciences
1103 Clinical Sciences
Abstract A 40-year-old male smoker presented with a 3-week history of painful digital infarction involving the hands. Histology was unhelpful, showing lichen simplex chronicus. A provisional diagnosis of a vasculitic disease was made. Treatment included aspirin, azathioprine, iloprost, methylprednisolone, nifedipine and prednisolone. After failure of these treatments an alternative clinical diagnosis of Buerger's disease was made. Treatment was to advise the patient of the importance of continuing to abstain from smoking, to perform bilateral video-assisted thoracoscopic sympathectomies and to commence folate supplementation. This led to marked improvement of his symptoms and healing of the digital infarction.
Keyword Factor V Arg 506 to Gln mutation
Folate
Hyperhomocysteinaemia
Prothrombin gene G20210A mutation
Thoracoscopic sympathectomy
Thromboangiitis obliterans
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Thu, 21 Jan 2010, 09:17:14 EST by Ms May Balasaize on behalf of Faculty Of Health Sciences