The Infrapopliteal Arterial Occlusions Similar to Buerger Di
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Case
A 55-year-old male with a smoking habit was admitted with ulcers and coldness in his fingers and toes. His medical history was unremarkable, without diabetes mellitus, hyperlipidemia, or hypertension. During the clinical examination, his third and fourth fingers on the left side were observed to be ulcerated, and his fourth right toe was gangrenous. The bilateral radial and posterior tibial arteries were not palpable; however, the ankle brachial index (ABI) was within the normal range on both sides. The laboratory findings failed to show any thrombophilia, autoimmune disorders, or malignant diseases. However, arteriography disclosed blockage in both the radial and posterior tibial arteries, which led to an initial diagnosis of Buerger disease....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241243/
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