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Buerger Disease Symptoms and Treatment Guidelines

Can smoking cause buerger’s disease? How fast does buerger’s disease progress? How is a buerger’s disease diagnosed? Let’s find out about buerger disease symptoms and treatment!

Buerger Disease Definition

Buerger disease meaning – What is buerger disease? Buerger’s disease is a rare illness that causes blood vessels in your arms and legs to become inflamed and close off.

buerger disease symptoms and treatment guidelines - buerger disease vs raynaud's phenomenon

Buerger disease Causes

What causes buerger disease? What is the most common cause of buerger disease?

Buerger disease is a segmental, inflammatory, and thrombotic condition of the extremities’ most distal arteries and, sometimes, veins. Pathology shows that the affected vessels have arteritis. No one knows what causes it, but patients who don’t smoke cigarettes rarely have it.

Most of the time, the plantar and digital arteries in the foot and lower leg are affected. The fingers and hands may be involved when the disease is more advanced. The number of people who get Buerger disease has dropped by a lot.

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Buerger Disease Diagnosis

  • Usually, men who smoke cigarettes get this.
  • Extremities at the end of the body were affected by severe ischemia, which led to tissue loss.
  • Thrombosis of the veins near the skin’s surface is possible.
  • To stop the disease from getting worse, you must stop smoking.

Differential Diagnosis

In atherosclerotic peripheral vascular disease, the onset of tissue ischemia is usually less dramatic than in Buerger disease, and symptoms of proximal arterial involvement, like claudication, are more common.

Raynaud’s disease symptoms can be hard to tell apart from Buerger’s disease symptoms. In 40% of patients, they often happen simultaneously. In addition, repeated atheroemboli can also look like Buerger disease, which can make it hard to tell them apart. To find out if there are any sources of arterial microemboli, it may be necessary to take a picture of the proximal arterial tree.

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Buerger Disease Symptoms

Signs and symptoms of buerger disease – What are some symptoms of buerger disease?

At first, it may be hard to tell the difference between Buerger and regular peripheral vascular diseases. However, in most cases, the lesions are on the toes, and the patient is younger than 40.

Thrombophlebitis on the skin may help the doctor figure out what’s wrong. Since the distal blood vessels are usually affected, intermittent claudication is not common with Buerger disease. However, rest pain, especially in the toes, is common.

This pain often leads to tissue loss and amputation unless the person stops smoking. The disease seems to get worse in short, intense spurts followed by longer times when it gets better.


MRA or invasive angiography can show that the distal arterial tree is gone, a common sign of Buerger disease.

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Buerger Disease Treatment and Management Guidelines

Treatment of buerger disease – What is the best treatment for buerger disease?

The main treatment is to stop smoking, which will stop the disease in most cases. Since the distal arterial tree is blocked, it is often impossible to revascularize. Sympathectomy doesn’t work very often.


Suppose people with Buerger disease can stop smoking. In that case, their outlook may be better than those with early peripheral vascular disease. However, suppose the person doesn’t stop smoking. In that case, the outlook is usually bad, and amputation of the lower and upper limbs is possible.

I hope you understand about buerger disease symptoms and treatment guidelines.

About Micel Ortega

Dr. Micel Ortega, MD, PhD, is a highly respected medical practitioner with over 15 years of experience in the field of internal medicine. As a practicing physician, Dr. Micel has built a reputation for providing compassionate and evidence-based care to his patients. He specializes in the diagnosis and management of chronic conditions, including diabetes, hypertension, and heart disease. In addition to his clinical work, Dr. Micel has published extensively in top-tier medical journals on the latest advancements in internal medicine and has played an instrumental role in the development of innovative treatment options.

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