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Tromboangeítis obliterante - Symptom

Nombres alternativos

Enfermedad de Buerger

Síntomas:

  • Las manos o los pies pueden estar pálidos, rojos o azulosos
  • Las manos o los pies pueden sentirse fríos
  • Dolor en las manos y pies:
    • agudo, intenso
    • ardor u hormigueo
    • con frecuencia ocurre en reposo
  • Dolor en las piernas, tobillos o pies al caminar (claudicación intermitente):
    • con frecuencia localizado en el arco del pie
  • Cambios en la piel o úlceras en las manos o pies

Nota: los síntomas pueden empeorar con la exposición al frío o con el estrés emocional y generalmente resultan afectadas dos o más extremidades.

Pruebas y exámenes:

Las manos o pies pueden presentar vasos sanguíneos agrandados, sensibles y de coloración roja. Asimismo, se puede presentar disminución o ausencia de pulso en las manos o pies afectados.

Los siguientes exámenes pueden mostrar obstrucción de los vasos sanguíneos en las manos o pies afectados:

Se pueden hacer exámenes de sangre para otras causas de vasculitis e inflamación. En raras ocasiones, en casos en los que el diagnóstico no es claro, se hace una biopsia del vaso sanguíneo.

  • Reviewed last on: 3/18/2011
  • A.D.A.M. Editorial Team: David Zieve, MD, MHA, and David R. Eltz. Previously reviewed by Ariel D. Teitel, MD, MBA, Chief, Division of Rheumatology, St. Vincent's Hospital, New York, NY. Review provided by Verimed Healthcare Network (11/5/2010).

Referencias

Olin JW. Other peripheral arterial diseases. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 80.

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