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- Christie clinic - medicine for your life our website is currently having technical difficulties. To view the site, please click here overview things to know health & wellness in the community health encyclopedia health encyclopedia t thromboangiitis obliterans health encyclopedia an invaluable resource of health information. Related items read more raynaudâ€™s phenomenon autoimmune disorders images thromboangiites obliterans circulatory system thromboangiitis obliterans thromboangiitis obliterans is a rare disease in which blood vessels of the hands and feet become blocked. Alternative names buerger's disease causes, incidence, and risk factors thromboangiitis obliterans (buerger's disease) is caused by vasculitis (inflammation of the blood vessels). The blood vessels of the hands and feet are especially affected. They tighten or become totally blocked. The average age when symptoms begin is around 35 years. Woman and older adults are affected less often. Thromboangiitis obliterans mostly affects men ages 20 to 40 who have a history of heavy smoking or chewing tobacco. Only 1 out of 10 patients are women. The condition may also be related to a history of raynaud's disease. get viagra no prescription This disorder is very uncommon in children, but it may occur in children with autoimmune diseases. Symptoms hands or feet may be pale, red, or bluish hands or feet may feel cold pain in the hands and feet acute, severe burning or tingling often occurring at rest pain in the legs, ankles, or feet when walking (intermittent claudication) often located in the arch of the foot skin changes or ulcers on hands or feet note: symptoms may worsen with exposure to cold or with emotional stress. Usually, two or more limbs are affected. Signs and tests the hands or feet may have large, red, tender blood vessels. The pulse in the affected hands or feet may be low or missing. buy female viagra The following tests may show blockage of blood vessels in the affected hands or feet: angiography/arteriography of the extremity doppler ultrasound of the extremity blood tests for other causes of vasculitis and inflammation may be done. Rarely, in cases where the diagnosis is unclear, a biopsy of the blood vessel is done. Treatment there is no cure for thromboangiitis obliterans. The goal of treatment is to control symptoms. The patient must stop using tobacco and should avoid cold temperatures and other conditions that reduce circulation to the hands and feet. Applying warmth and exercising gently may help increase circulation. Cutting the nerves to the area (surgical sympathectomy) may help control pain. Aspirin and vasodilators may also used. It may be necessary to amputate the hand or foot if infection or widespread tissue death occurs. generic viagra quick delivery Expectations (prognosis) symptoms of thromboangiitis obliterans may disappear if the person stops tobacco use. get viagra no prescription For some, amputation is unavoidable. viagra over the counter Complications amputation gangrene (tissue death) loss of circulation beyond the affected hand or foot calling your health care provider call your health care provider if: you have symptoms of thromboangiitis obliterans you have thromboangiitis obliterans and symptoms get worse, even with treatment you develop new symptoms prevention those with a history of raynaud's disease or thromboangiitis obliterans should avoid all tobacco use. References olin jw. Other peripheral arterial diseases. In: goldman l, ausiello d, eds. Cecil medicine. 23rd ed. get viagra no prescription Philadelphia, pa: saunders elsevier; 2007: chap 80. Review date: 3/18/2011 reviewed by: a. D. A. get viagra no prescription M. Editorial team: david zieve, md, mha, and david r. low cost generic viagra Eltz. Previously reviewed by ariel d. Teitel, md, mba, chief, division of rheumatology, st. Vincent's hospital, new york, ny. Review provided by verimed healthcare network (11/5/2010). The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2012 a. D. A. M. get viagra no prescription , inc. Any duplication or distribution of the information contained herein is strictly prohibited. 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