Open AccessUpper Extremity Ischemia Caused by Small Artery Disease
Author(s) -
Joseph L. Mills,
Eric I. Friedman,
Lloyd M. Taylor,
John M. Porter
Publication year - 1987
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198710000-00013
Subject(s) - medicine , surgery , scleroderma (fungus) , disease , natural history , incidence (geometry) , ischemia , debridement (dental) , arteriosclerosis obliterans , autoimmune disease , antibiotics , dermatology , pathology , physics , microbiology and biotechnology , optics , inoculation , biology
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.