BUERGER Diseases
(Thromboangitis obliterans)
PREFACE
Actually, Buerger's disease (thromboangitis obliterans) is a peripheral vascular occlusive disease is more common in Asia than in Western countries. This disease is an idiopathic disease, probably due to an autoimmune disorder of blood vessels,pan-angitis which results ultimately stenosis and occlusion of blood vessels.
The first report thromboangitis obliterans has been described in Germany by von Winiwarter in 1879 in an article titled "A strange form of endarteritis and endophlebitis with gangrene of the feet ". Approximately a quarter of a century later, in Brookline New York, Leo Buerger published a more complete explanation of the disease where it is more focused on the clinical picture of thromboangitis obliterans as " presenile spontaneous gangrene ".
Almost 100% of cases thromboangitis obliterans (sometimes called Tromboarteritis obliterans) or Buerger disease Winiwarter attack at the age of young adult smokers. The disease is widely available in Korea, Japan, Indonesia, India and other countries in South Asia, Southeast Asia and East Asia.
The prevalence of Buerger's disease in the United States has declined over the last half decade, it is certainly due to the declining number of smokers, and also due to better diagnostic criteria. In 1947, the prevalence of this disease in the United States as many as 104 cases of 100 thousand population. The latest data, the prevalence of the disease is estimated at 12.6 - 20% of cases per 100,000 population.
Deaths caused by Buerger's disease is still rare, but in patients with this disease who continue smoking, 43% of patients have to do one or more amputations in 6-7 years later. Recent data, in December 2004 issued by the CDC publication, a total of 2002 deaths were reported in the United States based on the cause of death, month, race and gender (International Classification of Diseases, Tenth Revision, 1992), has reported a total of nine deaths berhubungkan with thromboangitis obliterans, a comparison of men and women is 2:1 and the white and black ethnic groups is 8:1.
ANATOMY OF BLOOD VESSELS DIRECTION
Blood vessels consist of three types: arteries, veins, and capillaries.
A. Arteries
Arteries carry blood from the heart and distributed to various tissues of the body through its branches. Arteries of the smallest, less than 0.1 mm in diameter, called arterioles. Union of the branches of the artery is called anastomosis. There are no valves in the arteries.
And the anatomic arterial blood vessels that branches do not hold a terminal anastomosis with the arterial branches that memperdarahi adjacent areas. End fusngsional arteries are blood vessels that entered its terminal branches of the anastomosis with the terminal branches of adjacent arteries, but the magnitude of the anastomosis is not enough to keep the network alive if one clogged artery.
2. Vena
