RESUMO
I expect that every reader of this Journal is only too familiar with seeing an elderly patient, male more commonly than female, who is admitted with a gangrenous leg. Younger subjects, in their twenties and thirties, are fortunately much less common; the majority of these are severe and poorly controlled diabetics. I very much doubt if any of you, unless you work in a specialised vascular unit, have seen in this age group an example of thromboangiitis obliterans, more commonly called Buerger's disease.
Assuntos
Tromboangiite Obliterante/história , Adulto , História do Século XX , Humanos , Masculino , Adulto JovemRESUMO
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Assuntos
Vasculite/classificação , Vasculite/história , Poliarterite Nodosa/epidemiologia , Poliarterite Nodosa/história , Dermatologia/história , Tromboangiite Obliterante/complicações , Tromboangiite Obliterante/história , Granulomatose com Poliangiite/história , Vasculite por IgA/história , Arterite de Takayasu/história , Nefrite/complicações , Tromboangiite Obliterante/epidemiologia , Tromboangiite Obliterante/prevenção & controle , Síndrome de Behçet/históriaRESUMO
In a patient with a high a priori risk of peripheral vascular disease, the positive predictive value of an abnormal physical diagnostic examination is high. In patients with a low prior probability of peripheral vascular disease, the physical examination makes little contribution to the diagnosis or exclusion of arterial insufficiency. For this purpose the ankle-brachial systolic pressure index is preferable. Peripheral arterial disease is unlikely when this index is normal. However, a low ankle-brachial index necessitates further investigations to determine possible arterial insufficiency in the lower extremities.
