Day 57 : Right toe ulcer with TAO ( Buerger's Disease)

Monday 28/11/2022 Adarsha Hospital,Kundapura

Had night duty today. Patients were less, the night was going good. Then a patient came to casuality reffered to Dr.Adarsh by Dr.Nagesh for admission. I went to casuality to see the patient.

The patient was Mr.Narayana, middle aged man k/c/o T2DM came with c/o ulcer over his right greater toe with right lower limb swelling and fever since 3 days.

On examination he had a 2x2 cm ulcer over his 1st toe of right lower limb.

He had done a Arterial and venous Dopler study of Right lower limb which said that he had decreased arterial flow below ankle and he had Thromboangiitis obliterans.

He was admitted to ward and reffered to Dr.Adarsh (Surgeon) for further management. Dr. Nagesh was planning to start Inj Alprostadil after discussing with Dr Adarsh to increase the blood flow over there.

Some details about Thromboangiitis obliterans

Thromboangiitis obliterans (TAO), an inflammatory vasculopathy also known as Buerger disease, is characterized by an inflammatory endarteritis that causes a prothrombotic state and subsequent vaso-occlusive phenomena.

It characteristically affects small and medium-sized arteries as well as veins of the upper and lower extremities. The condition is strongly associated with heavy tobacco use, and disease progression is closely linked to continued use.

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