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THROMBO-ANGIITIS OBLITERANS: GENERAL DISTRIBUTION OF THE DISEASE

THROMBO-ANGIITIS OBLITERANS: GENERAL DISTRIBUTION OF THE DISEASE Abstract Von Winiwarter,1 in 1878, described a case in which the arteries of a lower extremity were occluded by a chronic proliferative process arising from the intima and showed an inflammatory reaction of the walls of the vessels. He called this lesion "endarteritis obliterans." Since then many writers have described this disease, but it was not until the studies of Buerger2 in 1908 that the pathologic changes were minutely described and the disease established as a definite clinical and pathologic entity. From the time of the first description by von Winiwarter1 to the present, there has been a tremendous amount of study and investigation of this lesion. It is the object in this paper to direct attention to the more general distribution of the disease in contradistiction to what has previously been believed concerning it—that it is a disease involving the blood vessels of the extremities exclusively. It References 1. Von Winiwarter, Felix: Ueber eine eigentümliche Form von Endarteritis und Endophlebitis mit Gangrän des Füsses , Arch. f. klin. Chir. 23:202, 1878. 2. Buerger, Leo: Thrombo-Angiitis Obliterans: A Study of the Vascular Lesions Leading to Pre-Senile Spontaneous Gangrene , Am. J. M. Sc. 136:567, 1908.Crossref 3. Brown, G. E., and Henderson, M. S.: Diagnosis and Treatment of Arterial Vascular Diseases of the Extremities , J. Bone & Joint Surg. 9:613 ( (Oct.) ) 1927. 4. Riesman, David: Myocardial Disease and Its Gastric Masquerades , J. A. M. A. 91:1521 ( (Nov. 17) ) 1928 (case 3). 5. Czerna, Stephan: Arteritis Obliterans with Similar Changes in the Veins , Arch. f. inn. Med. 12:213, 1926. 6. Perla, David: An Analysis of Forty-One Cases of Thrombo-Angiitis Obliterans , Surg. Gynec. Obst. 41:21 ( (July) ) 1925 (case 3). 7. Buerger, Leo: Concerning Vasomotor and Trophic Disturbances of Upper Extremities, with Particular Reference to Thrombo-Angiitis Obliterans , Am. J. M. Sc. 149:210, 1915 (case 9). 8. Lewis, Dean: Spontaneous Gangrene of the Extremities , Arch. Surg. 15:613 ( (Oct.) ) 1927. 9. Thomas, H. M., Jr.: Persistent Leucocytosis in the Early Stages of Thrombo-Angiitis Obliterans , Am. J. M. Sc. 165:86 ( (June) ) 1923. 10. Telford, E. D., and Stopford, J. S. B.: Thrombo-Angiitis Obliterans , Brit. M. J. 2:1035, ( (Dec. 6) ) 1924. 11. Meleney, F. L., and Miller, C. G.: A Contribution to the Study of Thrombo-Angiitis Obliterans , Ann. Surg. 81:976, 1925. 12. Lemann, I. V.: Personal communication to the authors. The case reports are to appear in the American Journal of Medical Sciences. 13. Oppel, V. A.: Spontaneous Gangrene of the Extremities and Suprarenalectomy , Lyon chir. 14:1 ( (Jan.-Feb.) ) 1927. 14. Oppel uses the term "suprarenal arteriosis" synonymously with spontaneous gangrene and thrombo-angiitis obliterans. 15. Constam, G. R.: Primary Involvement of the Upper Extremities in Thrombo-Angiitis Obliterans , Am. J. M. Sc. 174:530 ( (Oct.) ) 1927. 16. Koyano, K.: A Clinical Study of 120 Cases of Thrombo-Angiitis Obliterans Among the Japanese , Acta scholae med. univ. imp. Kioto 4:489, 1921-1922. 17. Allen, E. V., and Brown, G. E.: Thrombo-Angiitis Obliterans: Clinical Study of 200 Cases: Etiology, Pathology, Symptoms, Diagnosis , Ann. Int. Med. 1:535 ( (Feb.) ) 1928. 18. Lewis, D., and Reichert, F. L.: The Collateral Circulation in Thrombo-Angiitis Obliterans , J. A. M. A. 87:302 ( (July 31) ) 1926. 19. Gross, L.: The Blood Supply to the Heart , Its Anatomical and Clinical Aspects , ed. 1, New York, Paul B. Hoeber, 1921. 20. Spalteholz, W.: Die Arterien der Herzwand , Leipzig, S. Hirzel, 1924. 21. Oberhelman, H. A., and LeCount, E. R.: Variations in Anastomosis of Coronary Arteries and Their Sequences , J. A. M. A. 82:1321 ( (April 26) ) 1924. 22. Wearn, J. T.: The Rôle of the Thebesian Vessels in the Circulation of the Heart , J. Exper. Med. 47:293 ( (Feb. 1) ) 1928. 23. Dumas, A., and Ravault, P.: Physiologic and Histologic Investigations on the Circulatory Conditions in the Left Leg, the Femoral Artery of Which Had Been Ligated in 1870 , Lyon chir. 24:387 ( (July-Aug.) ) 1927. 24. Bolognesi, quoted by Buerger (footnote 27). 25. Bernheim, B. M., and Sachs, L.: Notes on the Collateral Circulation in Blood Vessel Diseases of the Lower Extremities , Ann. Surg. 86:417 ( (Sept.) ) 1927. 26. Allen, E. V., and Meyerding, H. W.: Surgical Procedure in Obliterative Vascular Disease (Thrombo-Angiitis Obliterans): A Report of 45 Cases , Surg. Gynec. Obst. 44:260, 1928. 27. Buerger, Leo: Circulatory Disturbances of the Extremities , Philadelphia, W. B. Saunders Company, 1924, p. 214. 28. Buerger (footnote 27, p. 320). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

THROMBO-ANGIITIS OBLITERANS: GENERAL DISTRIBUTION OF THE DISEASE

BARRON, MAURICE E.; LINENTHAL, HARRY
Archives of Surgery , Volume 19 (4) – Oct 1, 1929
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References (26)

Publisher
American Medical Association
Copyright
Copyright © 1929 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1929.01150040171007
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Abstract

Abstract Von Winiwarter,1 in 1878, described a case in which the arteries of a lower extremity were occluded by a chronic proliferative process arising from the intima and showed an inflammatory reaction of the walls of the vessels. He called this lesion "endarteritis obliterans." Since then many writers have described this disease, but it was not until the studies of Buerger2 in 1908 that the pathologic changes were minutely described and the disease established as a definite clinical and pathologic entity. From the time of the first description by von Winiwarter1 to the present, there has been a tremendous amount of study and investigation of this lesion. It is the object in this paper to direct attention to the more general distribution of the disease in contradistiction to what has previously been believed concerning it—that it is a disease involving the blood vessels of the extremities exclusively. It References 1. Von Winiwarter, Felix: Ueber eine eigentümliche Form von Endarteritis und Endophlebitis mit Gangrän des Füsses , Arch. f. klin. Chir. 23:202, 1878. 2. Buerger, Leo: Thrombo-Angiitis Obliterans: A Study of the Vascular Lesions Leading to Pre-Senile Spontaneous Gangrene , Am. J. M. Sc. 136:567, 1908.Crossref 3. Brown, G. E., and Henderson, M. S.: Diagnosis and Treatment of Arterial Vascular Diseases of the Extremities , J. Bone & Joint Surg. 9:613 ( (Oct.) ) 1927. 4. Riesman, David: Myocardial Disease and Its Gastric Masquerades , J. A. M. A. 91:1521 ( (Nov. 17) ) 1928 (case 3). 5. Czerna, Stephan: Arteritis Obliterans with Similar Changes in the Veins , Arch. f. inn. Med. 12:213, 1926. 6. Perla, David: An Analysis of Forty-One Cases of Thrombo-Angiitis Obliterans , Surg. Gynec. Obst. 41:21 ( (July) ) 1925 (case 3). 7. Buerger, Leo: Concerning Vasomotor and Trophic Disturbances of Upper Extremities, with Particular Reference to Thrombo-Angiitis Obliterans , Am. J. M. Sc. 149:210, 1915 (case 9). 8. Lewis, Dean: Spontaneous Gangrene of the Extremities , Arch. Surg. 15:613 ( (Oct.) ) 1927. 9. Thomas, H. M., Jr.: Persistent Leucocytosis in the Early Stages of Thrombo-Angiitis Obliterans , Am. J. M. Sc. 165:86 ( (June) ) 1923. 10. Telford, E. D., and Stopford, J. S. B.: Thrombo-Angiitis Obliterans , Brit. M. J. 2:1035, ( (Dec. 6) ) 1924. 11. Meleney, F. L., and Miller, C. G.: A Contribution to the Study of Thrombo-Angiitis Obliterans , Ann. Surg. 81:976, 1925. 12. Lemann, I. V.: Personal communication to the authors. The case reports are to appear in the American Journal of Medical Sciences. 13. Oppel, V. A.: Spontaneous Gangrene of the Extremities and Suprarenalectomy , Lyon chir. 14:1 ( (Jan.-Feb.) ) 1927. 14. Oppel uses the term "suprarenal arteriosis" synonymously with spontaneous gangrene and thrombo-angiitis obliterans. 15. Constam, G. R.: Primary Involvement of the Upper Extremities in Thrombo-Angiitis Obliterans , Am. J. M. Sc. 174:530 ( (Oct.) ) 1927. 16. Koyano, K.: A Clinical Study of 120 Cases of Thrombo-Angiitis Obliterans Among the Japanese , Acta scholae med. univ. imp. Kioto 4:489, 1921-1922. 17. Allen, E. V., and Brown, G. E.: Thrombo-Angiitis Obliterans: Clinical Study of 200 Cases: Etiology, Pathology, Symptoms, Diagnosis , Ann. Int. Med. 1:535 ( (Feb.) ) 1928. 18. Lewis, D., and Reichert, F. L.: The Collateral Circulation in Thrombo-Angiitis Obliterans , J. A. M. A. 87:302 ( (July 31) ) 1926. 19. Gross, L.: The Blood Supply to the Heart , Its Anatomical and Clinical Aspects , ed. 1, New York, Paul B. Hoeber, 1921. 20. Spalteholz, W.: Die Arterien der Herzwand , Leipzig, S. Hirzel, 1924. 21. Oberhelman, H. A., and LeCount, E. R.: Variations in Anastomosis of Coronary Arteries and Their Sequences , J. A. M. A. 82:1321 ( (April 26) ) 1924. 22. Wearn, J. T.: The Rôle of the Thebesian Vessels in the Circulation of the Heart , J. Exper. Med. 47:293 ( (Feb. 1) ) 1928. 23. Dumas, A., and Ravault, P.: Physiologic and Histologic Investigations on the Circulatory Conditions in the Left Leg, the Femoral Artery of Which Had Been Ligated in 1870 , Lyon chir. 24:387 ( (July-Aug.) ) 1927. 24. Bolognesi, quoted by Buerger (footnote 27). 25. Bernheim, B. M., and Sachs, L.: Notes on the Collateral Circulation in Blood Vessel Diseases of the Lower Extremities , Ann. Surg. 86:417 ( (Sept.) ) 1927. 26. Allen, E. V., and Meyerding, H. W.: Surgical Procedure in Obliterative Vascular Disease (Thrombo-Angiitis Obliterans): A Report of 45 Cases , Surg. Gynec. Obst. 44:260, 1928. 27. Buerger, Leo: Circulatory Disturbances of the Extremities , Philadelphia, W. B. Saunders Company, 1924, p. 214. 28. Buerger (footnote 27, p. 320).

Journal

Archives of Surgery – American Medical Association

Published: Oct 1, 1929

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