Substitution of smokeless tobacco for cigarettes in Buerger's disease does not prevent limb loss

Peter F. Lawrence, Olivia I. Lund, Juan Carlos Jimenez, Rehan Muttalib

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Buerger's Disease, characterized by segmental, inflammatory, occlusive disease of the distal small and medium sized arteries, predominantly affects young men who are cigarette smokers. The disease may lead to ischemia, necrosis, and amputation of distal extremities; most patients have significant improvement in symptoms if smoking is discontinued. We report a patient who experienced progression of biopsy-proven Buerger's disease, after substituting smokeless tobacco for cigarettes. The patient's disease was severe enough to eventually require bilateral below-knee amputations. The association of smokeless tobacco with progressive limb ischemia should lead clinicians to discourage the substitution of smokeless tobacco for cigarette smoking in patients with Buerger's disease.

Original languageEnglish (US)
Pages (from-to)210-212
Number of pages3
JournalJournal of vascular surgery
Volume48
Issue number1
DOIs
StatePublished - Jul 1 2008
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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