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* Current (or recent) history of tobacco use
* Current (or recent) history of tobacco use
* Presence of distal extremity ischemia (indicated by claudication, pain at rest, ischemic ulcers or gangrene) documented by noninvasive vascular testing such as ultrasound
* Presence of distal extremity ischemia (indicated by claudication, pain at rest, ischemic ulcers or gangrene) documented by noninvasive vascular testing such as ultrasound
* Exclusion of autoimmune diseases, hypercoagulable states, and diabetes mellitus by laboratory tests.
* Exclusion of autoimmune diseases, hypercoagulable states, and diabetes mellitus by laboratory tests
* Exclusion of a proximal source of emboli by echocardiography and arteriography
* Exclusion of a proximal source of emboli by echocardiography and arteriography
* Consistent arteriographic findings in the clinically involved and noninvolved limbs.
* Consistent arteriographic findings in the clinically involved and noninvolved limbs
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 17:20, 1 March 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Diagnostic Criteria

A concrete diagnosis of thromboangiitis obliterans is often difficult as it relies heavily on exclusion of the conditions. The commonly followed diagnostic criteria are below although the criteria tend to differ slightly from author to author. Olin (2000) proposes the following criteria:[1]

  • Age younger than 45 years
  • Current (or recent) history of tobacco use
  • Presence of distal extremity ischemia (indicated by claudication, pain at rest, ischemic ulcers or gangrene) documented by noninvasive vascular testing such as ultrasound
  • Exclusion of autoimmune diseases, hypercoagulable states, and diabetes mellitus by laboratory tests
  • Exclusion of a proximal source of emboli by echocardiography and arteriography
  • Consistent arteriographic findings in the clinically involved and noninvolved limbs

References

  1. Olin JW. Thromboangiitis obliterans (Buerger's disease). N Engl J Med 2000;343:864-9. PMID 10995867.

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