Buerger's Disease in Korea.
- Author:
Jang Sang PARK
1
;
Geun Eun KIM
;
Seong Ki MIN
;
Sun cheol PARK
;
In Sung MOON
;
Sung HEO
;
Ho Chul PARK
;
Won Hyun JO
;
Hyung Tae KIM
;
Do Kyun KIM
;
Jong Kwon PARK
;
Ki Hyuk PARK
;
Jeong An LEE
;
Joong Ki JUNG
;
Sang Joon KIM
;
Jong Won HA
;
Young Wook KIM
;
Dong Ik KIM
;
Yong Sin KIM
;
Seok Yul LEE
;
Koing Bo KWUN
;
Bo Yang SEO
;
Tae Won KWON
;
Hong Rae JO
;
Byung Jun SO
;
Hee Jae JUN
;
Sang Yeong JUNG
;
Oh Jeong KWON
;
Hyun Chul KIM
Author Information
1. Division of Vascular Surgery, Department of Surgery, Kang-Nam St. Mary's Hospital, College of Medicine, The Catholic University of Korea. johnpark@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Buerger's disease;
Thromboangiitis obliterans
- MeSH:
Age of Onset;
Arteries;
Epidemiologic Studies;
Female;
Humans;
Incidence;
Korea*;
Lower Extremity;
Phlebitis;
Risk Factors;
Smoke;
Smoking;
Specialization;
Thromboangiitis Obliterans*;
Tobacco;
Upper Extremity;
Veins
- From:Journal of the Korean Society for Vascular Surgery
2005;21(2):105-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Buerger's disease (Thromboangiitis obliterans, TAO) is characterized by non- atheromatous inflammatory disease, and segmental inflammatory thrombotic occlusions of the small & middle-sized arteries and veins of the upper or lower extremities. Any epidemiological study of Buerger's disease in Korea has not been carried out until now. This study was undertaken to investigate the incidence of Buerger's disease in Korea among the patients suffering with arterial disease. METHODS: We collected and analyzed the data on 11,128 patients who were admitted to or visited the participating 22 hospitals for chronic arterial diseases throughout the major region of the South Korea from January 1986 to December 2003. The clinical diagnostic inclusion criteria for Buerger's disease were the followings: (1) a history of smoking or tobacco abuse; (2) an age of onset less than 50 years; (3) infrapopliteal, segmental arterial occlusions with sparing of the proximal vasculature; (4) frequent distal upper extremity arterial involvement (Raynaud's syndrome or digital ulceration) or-superficial phlebitis; and (5) the absence of arteriosclerotic risk factors other than smoking. RESULTS: The incidence rate of Buerger's disease among the arterial disease (11,128 patients) was 93 patients (0.83%) when the strict criteria of Shionoya was applied. 699 male-patients (6.55%) and 30 female patients (4.12%) who met the less strict criteria (the extended clinical diagnostic criteria group) were also reviewed. The 4th and 5th decades were the most common ages with-249 patients (34.2%) and 222 patients (30.5%) respectively, being found at these ages. The mean age was 40.4+/-1.6 years (age range: 16~83 years) and this was similar in both the strict criteria group and the less strict criteria group. CONCLUSIONS: This study suggests there was a low incidence of Buerger's disease in Korea among the patients who visited the participating hospitals when the strict diagnostic criteria were used. The incidence was lower than expected even when the less strict criteria were used. The more accurate incidence of Buerger's disease among the general population can be obtained by performing careful prospective study that is participated in by not only vascular surgeons, but also the other medical specialists with utilizing the strict diagnostic criteria.
