It is also called as TAO(Thrombo Phlebitis Obliterans)It is a segmental, progressive, occlusive, inflammatory diseases of small & medium sized vessels with superficial thrombophlebitis often may present as Raynaud’s Phenomenon with micro abscess, along with neutrophil & giant cell infiltration with Skip lesion

1. en love da Homoeopathy
BUERGER’S
DISEASES

2. BUERGER’S
DISEASES
It is also calledas
Thrombophlebitis
obliterans (TAO)

3. DEFINITION
• It is a segmental,
progressive, occlusive,
inflammatorydiseases of
small & mediumsized
vessels with superficial
thrombophlebitis oftenmay
present as Raynaud’s
Phenomenonwithmicro
abscess, along with
neutrophil & giant cell
infiltrationwithSkiplesion

4. • commonly seenin young
and middle aged males
• smokers and tobaccousers
AFFECTIONS
• starts in lower limb one
side and later on the other
side.
• Upper limb involvement
occurs only afterlower limb
is diseased. More common in lower limb

5. CAUSES
• It is common in Jewish
people
• Hormonal influence
• familial nature,
• hypersensitivity to
cigarette,
• alteredautonomic
functions
• Lower socioeconomic
group,
• poor hygiene are other
factors.

6. PATHOGENESIS
• PANARTERITIS.
• due to smoking
↓
produce-vasospasms and
Hyperplasia of Intima in Artery
↓ Foll.by-
Thrombosis and obliteration of
vessels (mostlyMediumsize
vessels involved.)
produce- PANARTERITIS.
• Nerve involvementcause
REST PAINISCHAEMIA

7. • Once blockageoccurs,
collaterals blood supply is
maintained called as
Compensatory Peripheral
Vascular Diseases
CRITICAL LIMP ISCHAEMIA
CLASSIFICATION
Type I: Upper limbTAO—
rare.
Type II: Involving leg/s and
feet—crural/infrapopliteal.
Type III: Femoropopliteal.
Type IV: Aortoiliofemoral.
Type V: Generalised.
PANARTERITIS

8. CLINICALFEATURES
• Intermittent claudication
in foot
• Recurrent migratory
superficial
thrombophlebitis.
• May presentas Raynaud’s
phenomenon.

9. Complication
• Embolisation
• Ulcer formation
• Amputation
• Muscle weaknessatrophy
• Sensory& motor
impairment

10. INVESTIGATION
• Transbrachial angiogram
• Ultrasoundabdomento see
abdominal aortafor block/
aneurysm.
• Vein, artery, nerve biopsy.
Angiogram in arterial
diseases

11. TREATMENT
• Analgesics
• Stop smoking.
“Opt for either cigaretteor
limb, but not both.”
Surgical
• Sympathectomy
• Enarterotomy
• Amputation
• PTCA
• PABG

12. REFERENCE
1. SRB's Manual of Surgery
by SriramBhat M
2. A Manual on Clinical
Surgeryby Das
3. A Concise textbookof
Surgeryby Das

13. A
Special Thanks
To A Very
Special Doctor