| Diagnosis and treatment of atraumatic vascular insufficiency of the upper extremity: female smoker's syndrome. | |
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MedLine Citation:
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PMID: 8505276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A retrospective analysis of 30 angiograms in 29 patients performed at Doctor's Hospital since June of 1989 was carried out. Of these, 15 patients with 16 involved extremities presented with no antecedent trauma and significant symptoms of arterial insufficiency with impending digital necrosis. Eleven were female and four were male. Underlying medical problems included renal failure in four, diabetes in two, scleroderma in two and vasculitis in one. A unique group of six patients had no prior underlying medical problems. All six patients were female and all were smokers. A surprisingly high incidence of major arterial occlusion was noted. The radiographic features appeared distinct from the common causes of vascular insufficiency in the hand, that is, Raynaud's, thromboangiitis obliterans (Buerger's disease), and ulnar artery thrombosis from repetitive microtrauma (hypothenar hammer syndrome). This review is intended to discuss the evaluation and management of this group of patients. |
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Authors:
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J E Sheppard; G T Frazier; D Tamas; E R Weber; M M Moore; R W Satre |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of the Arkansas Medical Society Volume: 89 ISSN: 0004-1858 ISO Abbreviation: J Ark Med Soc Publication Date: 1993 May |
Date Detail:
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Created Date: 1993-07-08 Completed Date: 1993-07-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7503069 Medline TA: J Ark Med Soc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 604-10 Citation Subset: IM |
Affiliation:
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Arkansas Hand and Microsurgery Center, Little Rock. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Amputation Angiography Arm / blood supply* Female Fingers / blood supply Hand / blood supply Humans Ischemia / etiology*, surgery Male Smoking / adverse effects* |
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