[Buerger's disease starting in the upper extremity. A favorable response to nifedipine treatment combined with stopping tobacco use].
A case of a 38-year-old smoker male who had vasoconstriction and instep claudication of the right hand, is presented. After a year of evolution, he experienced the same alteration on the left foot. He was diagnosed as suffering from thromboangiitis obliterans, by means of angiography. After oral nifedipine treatment, combined with cessation of smoking, all symptoms and trophics regressed.
Palomo Arellano
A
A
Servicio de Medicina Interna y Dermatología, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo.
Gómez Tello
V
V
Parilla Herranz
P
P
Castilla Plaza
A
A
Marcos Sánchez
F
F
Durán Pérez-Navarro
A
A
D000328:Adult; D001132:Arm / Q000098:blood supply; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D009543:Nifedipine / Q000627:therapeutic use*; D012074:Remission Induction; D000074606:Smoking Prevention; D013919:Thromboangiitis Obliterans / Q000175:diagnosis / Q000188:drug therapy*
D009543:Nifedipine
Enfermedad de Buerger de inicio en extremidad superior. Respuesta favorable al tratamiento con nifedipina asociado a la supresión del tabaco.