Buerger’s disease

Literally, it is a place to say a disease. Illness also means a disease, but it seems to fit this disease better. I think of it as an evil that does not leave the person behind.

There is no more proven disease associated with smoking and nicotine.

You know, you’ve seen people who lost their fingers or feet but still continue to smoke on the news, these patients are Buerger patients. It holds both hands and feet.

The person who first described this disease gave the disease its own name. The name of the doctor so you will understand.

Its frequency is lower in western countries and increases as you go east.

The figures, which are like 5-10 per 10,000 in Europe, increase to 5 per thousand in our country. As you go to Far East Asia, this reaches serious figures like 5%.

It is seen in men, especially in young men.

Women are very rare.

In terms of age, the criterion valid for diagnosis is young men and especially men under the age of 45.

These patients have no risk factors, including sugar, cholesterol, and family history, except smoking.

It is necessary to show that the clot has come from the heart or elsewhere in the veins.

Why does it happen?

It develops as a result of an allergic reaction to tobacco and tobacco products and occlusion of the veins in the legs and hands.

Atherosclerosis is not a disease like arteriosclerosis or calcification as we know it.

In patients who quit smoking and start later, they return to the same situation and risk.

• If they stop smoking when first diagnosed, the better the outcome.
• The risk of amputation increases if treatment fails the first time.
• If smoking is continued after the first symptoms appear, then the chance of amputation within 8 years is 43%.

• If the blood flow in the leg is critically decreased after the initial diagnosis and there is gangrene, the chance of success in the treatment is very low.
• The reason for this is unclear.
• It is a purely personal disease. Immunotherapy recently: Although there are experimental studies on immunotherapy, these are still not fully implemented treatments today.
• Summary Smoking is a bad habit.

We can say that it is an overreaction that develops with a sensitivity in the immune system.

WHAT ARE BUERGER’S SYMPTOMS?

cold feet and fingers,

• Color changes in the fingers, first redness and then bruising
• Numbness in feet and fingers
• In the advanced period, there are wounds on the toes and heels
• Phlebitis seen from time to time in different places on the legs: inflammation of the veins
• Pain occurs in the calf while walking.
• Recent wounds progress and patients may face loss of limb. The foot may need amputation. IF THE PERSON CONTINUES SMOKING, THE DISEASE GOES UP. It has even been seen that it is in the hands.

Smoking should be completely stopped.

Thoughts such as quitting by cutting back or having a few drinks and nothing will happen at all are absolutely useless. The nicotine in electronic cigarettes does the same harm.

It should be kept away from people and places where smokers are smoked.

In some patients, the younger they are, the more severe the disease.

HOW IS THE DIAGNOSIS DONE?

• Diagnosis can only be made by history and examination.
• This is followed by ultrasonography and angiography.
• Today, Computed Angiography is more suitable for patients.
• Widespread and multiple levels of stenosis are seen in the images.
• 
• As you go down the angiography, blood flow is lost. Two images show veins in white and black.

TREATMENT

Traditionally, cutting of the Sympathetic Nerves was used in the past and even though it was abandoned for a while, it has come to the fore again today. This is called a sympathectomy. By eliminating the vasoconstrictor effects of these nerves, blood flow is tried to be increased.

It is recommended to open vascular occlusions with a balloon or stent, bypass if suitable veins are available in young patients, intravenous drug administration (prostaglandin, chelation treatments) and some herbal treatments.

But most importantly, smoking should be avoided.

Let’s put the importance of this into numbers.

• More than 90% of those who quit smoking get rid of a situation such as amputation of the legs.
• Forget about cigarettes.

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