title: [Senegalese case of thromboangeitis obliterans or Buerger's disease].
abstract: BACKGROUND
  Thromboangeitis obliterans (TAO) is an inflammatory, non atheromatous arteriopathy of smoking young adults. It is diagnosed on an association of non specific criteria that we discuss throughout this case.
  
  
  METHODS
  A forty years old tabagical, Senegalese black man, had peripheral destructive lesions preceded by Raynaud phenomenon. He was admitted in our Internal Medicine department in November 2002. Actually this clinical presentation was evolving since 11 years. At that time, hypo aesthesia and ulceration of the fingers led to successive amputations in the leprology centre. The diagnosis of Hansen disease had been suspected but there were no evidence of mycobacterium. At the admission in our service, biological tests showed a moderated non-specific inflammatory syndrome. Ultra sound Doppler and arteriography showed a peripheral arterial stenosis without atheromatous lesions, in favour of TAO. To meet all the criteria the patient didn't have any thrombotic or systemic disease. The evolution was favourable after tobacco weaning.
  
  
  CONCLUSIONS
  TAO can bring to difficulties of diagnosis by its way of presentation. Physicians should practice a systematic vascular screening in case of distal arteriopathy.
authors.affiliation: Clinique Médicale I CHU Aristide Le Dantec, Dakar. apouye@refer.sn
authors.forename: A
authors.initials: A
authors.lastname: Pouye
authors.forename: S
authors.initials: S
authors.lastname: Ndong
authors.forename: S
authors.initials: S
authors.lastname: Diallo
authors.forename: S
authors.initials: S
authors.lastname: Ba Diop
authors.forename: S
authors.initials: S
authors.lastname: Fall
authors.forename: A
authors.initials: A
authors.lastname: Leye
authors.forename: E F
authors.initials: EF
authors.lastname: Ka
authors.forename: A
authors.initials: A
authors.lastname: Niang
authors.forename: M M
authors.initials: MM
authors.lastname: Ka
authors.forename: T
authors.initials: T
authors.lastname: Moreira Diop
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D012675:Senegal; D012907:Smoking / Q000009:adverse effects; D013919:Thromboangiitis Obliterans / Q000175:diagnosis*