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Journal of the American Podiatric Medical Association, Vol 84, Issue 12 591-597, Copyright © 1994 by American Podiatric Medical Association

JOURNAL ARTICLE

Acute dysvascular limb in a young adult. A case study

RJ Girvan, PA Stone and JJ McGarry
Presbyterian/St Luke's Medical Center, Denver, CO.

Acute dysvascular limb in young adults is a rare entity. Diagnosis is often difficult because symptoms are not recognized as ischemic. The most common causes of this condition are premature atherosclerosis, thromboangiitis obliterans, microemboli, popliteal entrapment syndrome, collagen vascular disease, Takaysu's arteritis, and coagulopathy. A case study is presented to illustrate the disease process. A systematic approach to diagnosis, consisting of history and physical examination, palpation and auscultation of peripheral pulses at rest and following exercise, and noninvasive vascular examination at rest and following exercise, is recommended. Suggestion of an ischemic condition following noninvasive studies should be followed up with an arteriogram. The prognosis is dependent on the underlying etiology of the ischemia, early detection, and appropriate treatment.




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Copyright © 1994 by the American Podiatric Medical Association.