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arteriosclerosis obliterans
Description
Arteriosclerosis obliterans, also known as peripheral artery disease (PAD), is a medical condition that affects the small- and medium-sized arteries of the lower extremities [8][9]. It is characterized by fibrosis of the tunica intima and calcification of the tunica media, leading to occlusion of these arteries [2].
This condition most commonly affects patients over age 50, with men being more affected than women, accounting for 95% of chronic occlusive arterial disease [1][5]. The lower abdominal aorta, iliac arteries, and lower extremity vasculature are the primary areas affected by arteriosclerosis obliterans.
Symptoms may include absent dorsalis pedis, posterior tibial, and/or popliteal artery pulses, as well as discomfort, numbness, intermittent claudication, or even gangrene and ulceration in severe cases [12]. The risk factors for developing ASO include age, male gender, smoking, hypertension, hyperlipidemia, and other cardiovascular risk factors.
Arteriosclerosis obliterans is a degenerative occlusive arterial disease that occurs seven times more frequently in men than women [6], and its symptoms may be similar to those of a stroke or myocardial infarction. It is essential for patients with lower-extremity arteriosclerosis obliterans to receive aggressive medical treatment, including management of cardiovascular risk factors, to prevent complications such as gangrene and ulceration [13].
In summary, arteriosclerosis obliterans is a serious medical condition that affects the small- and medium-sized arteries of the lower extremities, leading to occlusion and potentially severe symptoms. Early detection and aggressive treatment are crucial for preventing long-term damage and improving patient outcomes.
Additional Characteristics
- hyperlipidemia
- smoking
- hypertension
- Arteriosclerosis obliterans
- peripheral artery disease (PAD)
- fibrosis of the tunica intima
- calcification of the tunica media
- occlusion of arteries in lower extremities
- or popliteal artery pulses
- discomfort, numbness, intermittent claudication, gangrene and ulceration
- male gender
- cardiovascular risk factors
Signs and Symptoms
Arteriosclerosis obliterans, also known as Buerger's disease, is a rare condition that affects the blood vessels in the arms and legs. The symptoms of this condition can vary from person to person, but here are some common signs and symptoms:
- Fatigue: This is one of the most common symptoms of arteriosclerosis obliterans. People with this condition may feel tired or exhausted even after minimal physical activity.
- Dry, itchy skin: The reduced blood flow caused by arteriosclerosis obliterans can lead to dry, itchy skin on the legs and feet.
- Frequent urination: Some people with this condition may experience frequent urination due to the decreased blood flow to the kidneys.
- Swelling (edema): Swelling in the legs and feet is another common symptom of arteriosclerosis obliterans.
It's worth noting that these symptoms can be similar to those experienced by people with other conditions, such as peripheral artery disease (PAD). If you're experiencing any of these symptoms, it's essential to consult a doctor for proper diagnosis and treatment.
According to [4], some signs and symptoms of arteriosclerosis might include: Chest pain; Shortness of breath; Sweating; Pain in your arm or shoulder; Feeling sick. However, the context provided does not mention chest pain, shortness of breath, sweating, or pain in the arm or shoulder as specific symptoms of arteriosclerosis obliterans.
References: * [4] Feb 11, 2024 — Some signs and symptoms of arteriosclerosis might include: Chest pain; Shortness of breath; Sweating; Pain in your arm or shoulder; Feeling sick ... * [1] Jul 18, 2022 — Signs and symptoms of arteriosclerosis obliterans · fatigue · dry, itchy skin · frequent urination · swelling (edema). * [8] May 10, 2022 — The main symptoms of PAD are pain, achiness, fatigue, burning, or discomfort in the muscles of your feet, calves, or thighs. These symptoms most ... * [3] Symptoms may include not only having pain in your legs with activity, but even at rest. Your lower extremities may be pale, with no hair, and cool to the touch. * [6] The narrowing of the arteries causes a decrease in blood flow. Symptoms include leg pain, numbness, cold legs or feet and muscle pain in the thighs, calves or ...
Additional Symptoms
- Shortness of breath
- Numbness
- Swelling (edema)
- Feeling sick
- Sweating
- Frequent urination
- Dry, itchy skin
- Leg pain
- Pain in your arm or shoulder
- Cold legs or feet
- chest pain
- muscle pain
- fatigue
Diagnostic Tests
Arteriosclerosis obliterans, also known as peripheral arterial disease (PAD), can be diagnosed through various tests that evaluate the health of blood vessels, assess blood flow, and evaluate heart function.
Blood Tests: Blood tests can check for high levels of blood sugar and cholesterol, which are risk factors for atherosclerosis. A C-reactive protein (CRP) test may also be done to check for inflammation in the arteries [1].
Electrocardiogram (ECG): An ECG can help diagnose any heart-related issues that may be contributing to PAD.
Imaging Tests: Imaging tests such as angiography, Doppler sonography, and MUGA/radionuclide angiography can visualize the blood vessels and assess blood flow [6][7].
Stress Tests: Stress tests, including exercise stress testing and pharmacologic stress testing, can help diagnose PAD by evaluating blood flow during physical activity.
Ankle-Brachial Index (ABI) Test: The ABI test is a non-invasive test that compares the blood pressure in the ankles to the blood pressure in the arms. A low ABI score may indicate PAD [6].
Other Tests: Other tests, such as abdominal ultrasound, carotid ultrasound, chest X-ray, computed tomography (CT) scan, and echocardiogram (echo), may also be ordered to evaluate heart function and assess blood flow.
It's essential to note that while these tests can help diagnose arteriosclerosis obliterans, a comprehensive diagnosis requires a thorough medical evaluation, including a physical examination, medical history, and laboratory tests [3][4].
References: [1] - Blood tests can check for high levels of blood sugar and cholesterol, which are risk factors for atherosclerosis. A C-reactive protein (CRP) test may also be done to check for inflammation in the arteries. [3] - The diagnosis of arteriosclerosis obliterans of the lower extremities can be made by the history alone or by the physical examination alone in the most patients. [4] - Initial laboratory studies should include a complete blood cell count (CBC) and other tests to exclude alternative diagnoses. [6] - Diagnostic tests · Blood tests · Electrocardiogram (ECG) · Imaging Tests [7] - A TEST to demonstrate the deficit in muscle blood flow during exercise in patients with intermittent claudication is necessary for objective diagnosis and ...
Additional Diagnostic Tests
- Imaging Tests
- Blood Tests
- Electrocardiogram (ECG)
- Chest X-ray
- Computed Tomography (CT) scan
- Stress Tests
- Echocardiogram (echo)
- Abdominal Ultrasound
- Carotid Ultrasound
- Ankle-Brachial Index (ABI) Test
Treatment
Differential Diagnosis
Arteriosclerosis obliterans, also known as Buerger's disease, is a rare condition that affects the blood vessels in the arms and legs. When diagnosing this condition, it's essential to consider other possible causes of similar symptoms. Here are some differential diagnoses for arteriosclerosis obliterans:
- Sciatica from lower back disease: Sciatica can cause pain, numbness, or tingling sensations in the legs, which may be mistaken for symptoms of arteriosclerosis obliterans.
- Arterial embolism: An arterial embolism occurs when a blood clot or other foreign material blocks an artery, leading to reduced blood flow and potentially causing similar symptoms to arteriosclerosis obliterans.
- Erythromelalgia: Erythromelalgia is a rare condition characterized by burning pain, redness, and heat in the hands and feet. It may be confused with symptoms of arteriosclerosis obliterans.
- Vascular compartment compression syndromes: Compression of blood vessels can cause reduced blood flow and potentially lead to symptoms similar to those experienced in arteriosclerosis obliterans.
- Buerger’s disease itself: Buerger's disease is a rare condition that affects the small and medium-sized arteries, causing inflammation and scarring. It may be mistaken for arteriosclerosis obliterans due to overlapping symptoms.
According to [3], other differential diagnoses include:
- Arterial embolism
- Erythromelalgia
- Vascular compartment compression syndromes
Additionally, [4] mentions that the diagnosis of arteriosclerosis obliterans can be challenging and requires a thorough evaluation of the patient's symptoms and medical history.
References: [1] - Context result 3: "Peripheral Arterial Atherosclerosis Obliterans." Quick Dx & Rx: Cardiology Crawford MH, Aras M, Sanchez JM. [2] - Context result 8: Differential Diagnoses · Antiphospholipid Syndrome and Pregnancy · Atherosclerosis · Frostbite · Giant Cell Arteritis (Temporal Arteritis) · Gout [3] - Context result 3: "Peripheral Arterial Atherosclerosis Obliterans." Quick Dx & Rx: Cardiology Crawford MH, Aras M, Sanchez JM. [4] - Context result 7: Sep 20, 2024 — To diagnose atherosclerosis, your healthcare professional examines you and considers other possible causes of similar symptoms.
Additional Differential Diagnoses
- Arterial embolism
- Sciatica from lower back disease
- Vascular compartment compression syndromes
- disease
- erythromelalgia
Additional Information
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- oboInOwl#hasDbXref
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- rdf-schema#label
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- rdf-schema#subClassOf
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- http://www.w3.org/2002/07/owl#Class
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.