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Buerger's Disease in Two Brothers: Iliac Artery Occlusion by Thromboangiitis Obliterans

Case Reports

Department and Clinic of Angiology, University Medical School of Wroclaw, County Specialistic Hospital of Wroclaw, Poland.

Wieslawa Kwiatkowska, MD

Department and Clinic of Angiology, University Medical School of Wroclaw, County Specialistic Hospital of Wroclaw, Poland.

Leszek Maslowski, MD

Department and Clinic of Angiology, University Medical School of Wroclaw, County Specialistic Hospital of Wroclaw, Poland.

Wojciech Witkiewicz, MD

Department of General and Vascular Surgery, County Specialistic Hospital of Wroclaw, Poland.

Barbara Kowal-Gierczak, MD

Department and Clinic of Angiology, University Medical School of Wroclaw, County Specialistic Hospital of Wroclaw, Poland.

Several characteristics of thromboangiitis obliterans are unique and confirm the existence of the disease as a distinct pathological entity. Its predilection for young smoking males, peripheral type of vascular involvement, recurrences of superficial thrombophlebites, and typical histolopathology form the principals of the disease although the etiology remains unknown. The authors report the unusual finding of Buerger's disease occurring in two brothers, one of whom had occlusion of the left external iliac and femoral arteries. All other clinical characteristics of these two cases were typical for thromboangiitis oblit erans. Presentation of some peculiarities of the disease, particularly the lack of familial association, may help to unravel the pathogenesis of thromboangiitis obliterans.

Angiology, Vol. 49, No. 5, 409-414 (1998)
DOI: 10.1177/000331979804900511


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