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Rheumatology 2000; 39: 442-443
© 2000 British Society for Rheumatology

Letters to the Editor

Buerger's disease (thromboangiitis obliterans): a reversible cause of upper limb digital infarcts

C. YOUNG, H. BEYNON and D. HASKARD1

Department of Rheumatology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG and
1 Department of Cardiovascular Medicine, Hammersmith Hospital, Du Cane Road, London W12, UK

Sir, Buerger's disease is a distinct pathological entity and disease progression can be reversed by cessation of smoking. Although classically affecting the lower limbs, patients with Buerger's disease may present with non-specific rheumatic symptoms or isolated upper limb vasculitis. We report a case of Buerger's disease with an atypical presentation, illustrating the management difficulties this may cause.

A 49-yr-old Caucasian man became unwell with a flu-like illness characterized by malaise, fevers and arthralgia affecting his wrists and knees. These symptoms settled after a 3-week period, . . . [Full Text of this Article]

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