title: Pain description in patients with isolated proximal (without distal) exercise-related lower limb arterial ischemia.
abstract: Among the last 250 claudicants referred to the laboratory for transcutaneous oxygen pressure recording at exercise, we analyzed the symptoms reported by the 36 patients who showed isolated proximal (without distal) ischemia. Among the symptomatic proximal sites cited by these patients, the hip and thigh represent 60%, whereas the buttock is cited in fewer than 25% of cases. Buttock symptoms are reported in only 31% of symptomatic patients. 'Buttock' claudication is probably not the dominant symptom in isolated proximal vascular ischemia. Assessing proximal lower limb ischemia through the sole detection of 'buttock pain' could contribute to the underestimation of proximal vascular ischemia.
authors.affiliation: Laboratoire d'explorations vasculaires, Centre Hospitalier Universitaire, Angers, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Jacquinandi
authors.forename: Philippe
authors.initials: P
authors.lastname: Bouyé
authors.forename: Jean
authors.initials: J
authors.lastname: Picquet
authors.forename: Georges
authors.initials: G
authors.lastname: Leftheriotis
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Saumet
authors.forename: Pierre
authors.initials: P
authors.lastname: Abraham
mesh_terms: D000368:Aged; D002081:Buttocks / Q000503:physiopathology; D015444:Exercise; D005080:Exercise Test; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000188:drug therapy / Q000503:physiopathology; D007511:Ischemia / Q000188:drug therapy* / Q000503:physiopathology*; D035002:Lower Extremity / Q000098:blood supply* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010101:Oxygen Consumption; D010146:Pain / Q000188:drug therapy / Q000503:physiopathology; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires