title: Upper extremity ischemia caused by small artery disease.
abstract: One hundred patients with ischemic finger ulceration had detailed prospective evaluation to determine the incidence of associated diseases, response to treatment, and natural history of the condition. A potentially serious associated disease was detected in each patient including autoimmune disease in 54%, Buerger's disease in 9%, arteriosclerosis obliterans in 9%, hypersensitivity angiitis in 22%, and miscellaneous diseases in 6%. Conservative treatment with soap and water scrubs, antibiotics, and local resection/debridement resulted in long-term healing without recurrence in 88% of patients. Most recurrences occurred in patients with autoimmune disease, usually scleroderma or CRST.
authors: Division of Vascular Surgery, Oregon Health Sciences University, Portland 97201.
authors: J L
authors: JL
authors: Mills
authors: E I
authors: EI
authors: Friedman
authors: L M
authors: LM
authors: Taylor
authors: J M
authors: JM
authors: Porter
mesh_terms: D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000150:complications*; D001161:Arteriosclerosis / Q000150:complications / Q000175:diagnosis; D001327:Autoimmune Diseases / Q000150:complications / Q000175:diagnosis; D005260:Female; D005385:Fingers / Q000098:blood supply*; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010991:Plethysmography; D011446:Prospective Studies; D012883:Skin Ulcer / Q000209:etiology / Q000628:therapy; D013919:Thromboangiitis Obliterans / Q000150:complications / Q000175:diagnosis; D018366:Vasculitis, Leukocytoclastic, Cutaneous / Q000150:complications / Q000175:diagnosis