Decrease in the Incidence of Buerger's Disease Recurrence in Northern Thailand

Laohapensang, Kamphol; Kattipattanapong, Vinaisak

doi:10.1007/s00595-005-3081-9

Cited by 13 publications

(4 citation statements)

References 23 publications

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“…incidence of TAO research using a national collection of big data is extremely rare, the results from 78 TAO patients in northern Thailand from 1988 to 2002(7) and 158 patients in Taiwan from 2002 to 2011 (8) correspond well with our results; the prevalence and incidence of TAO also decreased over time in those studies. Few studies have reported the age-standardized prevalence and incidence of TAO by sex.…”

supporting

confidence: 88%

The incidence, prevalence, and survival rate of thromboangiitis obliterans in Korea: a retrospective population-based study

Choi¹,

Jang²,

Kim³

et al. 2020

Cardiovasc Diagn Ther

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Background: Few studies used nationwide data to assess the age-standardized prevalence rate, incidence rate, 10-year survival rate, and death risk of thromboangiitis obliterans (TAO; Buerger's disease).Methods: Data for 24,392 patients who had newly diagnoses related to TAO (I73.1) from 2006 through 2017 were extracted from the National Health Insurance Service in Korea. The age-standardized prevalence rate, incidence rate, 10-year survival rate, and death risk of TAO were analyzed. Results: The mean (standard deviation) age of TAO patients overall was 62.0 (15.7) years; 61.3 (15.4) in males and 63.2 (16.1) in females (P<0.001). The proportion of patients older than 50 years old was about 80% overall. The proportion patients who died of TAO was 28.1%. Overall, the age-standardized prevalence rate of TAO decreased from 11.1 persons per 100,000 persons in 2006 to 8.43 persons in 2017, and overall, the incidence rate of TAO decreased from 6.07 persons in 2006 to 3.38 persons in 2017. Theage-standardized prevalence rate and incidence rate in males were higher than that in females. The 10-year survival rate of TAO was about 65% (60.7% in males and 72.5% in females). The adjusted hazard ratio increased significantly with older age, male sex, hypertension, diabetes mellitus, myocardial infarction, heart failure, ischemic stroke, hemorrhagic stroke, chronic kidney disease, and malignant neoplasm. Conclusions:The 10-year survival rate of TAO was about 65%. Even though the age-standardized prevalence rate and incidence rate of TAO is decreased during the study period, the adjusted hazard ratio showed significantly increases with age and with male sex after adjustment for comorbidities.

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supporting

confidence: 88%

The incidence, prevalence, and survival rate of thromboangiitis obliterans in Korea: a retrospective population-based study

Choi¹,

Jang²,

Kim³

et al. 2020

Cardiovasc Diagn Ther

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“…Digital ulceration was found in 44% of our TAO patients, with a small number of ulcerations above the ankle. 11 The ultimate thrombosis of the popliteal artery suggests the following sequence: the pythiosis infection started in skin and hair follicles, developed into a chronic ulcer, and then penetrated to involve adjacent arteries. The arteritis resulted in thrombosis, and this process then ascended upward to involve the popliteal artery.…”

Section: Discussionmentioning

confidence: 99%

Vascular Pythiosis in a Thalassemic Patient

et al. 2009

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Pythium insidiosum is a fungus that causes disease in both animals and humans. Human pythiosis is an emerging disease in the tropical, subtropical, and temperate regions of the world, occurring in localized and systemic or vascular forms. Most patients with arterial pythiosis have an underlying hemoglobinopathy, such as thalassemia. A case is presented of a thalassemic horse stable worker who developed an ulcerative cutaneous lesion on the lower left leg followed by progressive ascending involvement of the arteries of that extremity with a necrotizing arteritis with aneurysm formation. P. insidiosum was not isolated from the ulcer by culture or wet potassium hydroxide preparations but was diagnosed by histopathologic study of a biopsy. P. insidiosum infection was quickly confirmed by immunoblot method, aiding in preoperative decision making. Many systemic antibiotics or antimycotics have not been effective in the treatment of systemic pythiosis, and radical surgical removal of all infected tissue is the only method to ensure patient survival. An orally administered saturated solution of potassium iodide, amphotericin B-oral solution, and terbinafine has succeeded only in the cutaneous form but had no favorable effect on vascular pythiosis. It is likely that immunotherapy, successfully used in animal pythiosis, may be beneficial in the treatment of human vascular pythiosis.

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“…Buerger disease is a nonatherosclerotic inflammatory occlusive disease [1], which most commonly affects the small- and medium-sized arteries and veins of the upper and lower extremities [2]. Most of patients with Buerger disease are young males, typically <50 years of age [3], and are usually heavy cigarette smokers, with no atherosclerotic risk factors other than smoking.…”

Section: Introductionmentioning

confidence: 99%

The Infrapopliteal Arterial Occlusions Similar to Buerger Disease: Report of Two Cases

Igari

Kudo

Toyofuku

et al. 2014

Case Reports in Vascular Medicine

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We herein present two cases that required the differential diagnosis of Buerger disease. Case 1 involved a 55-year-old male with a smoking habit who was admitted with ulcers and coldness in his fingers and toes. Angiography showed blockage in both the radial and posterior tibial arteries, which led to an initial diagnosis of Buerger disease. However, a biopsy of the right posterior tibial artery showed pathological findings of fibromuscular dysplasia (FMD). Case 2 involved a 28-year-old male with intermittent claudication who was examined at another hospital. Angiography showed occlusion of both popliteal and crural arteries, and the patient was suspected to have Buerger disease. However, computed tomography disclosed an abnormal slip on both sides of the popliteal fossa, and we diagnosed him with bilateral popliteal artery entrapment syndrome (PAES). These cases illustrate that other occlusive diseases, such as FMD and PAES, may sometimes be misdiagnosed as Buerger disease.

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Decrease in the Incidence of Buerger's Disease Recurrence in Northern Thailand

Abstract: The incidence of recurrence of Buerger's disease seems to be decreasing in our institution, whereas the incidence of this disease and its recurrence both seem to be decreasing in Western countries and Japan.

Cited by 13 publications

References 23 publications

The incidence, prevalence, and survival rate of thromboangiitis obliterans in Korea: a retrospective population-based study

The incidence, prevalence, and survival rate of thromboangiitis obliterans in Korea: a retrospective population-based study

Vascular Pythiosis in a Thalassemic Patient

The Infrapopliteal Arterial Occlusions Similar to Buerger Disease: Report of Two Cases

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