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Decrease in the incidence of Buerger's disease recurrence in northern Thailand.

Kamphol Laohapensang1, Kittipan Rerkasem, Vinaisak Kattipattanapong

  • 1Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, Chiang, Mai, 50200, Thailand.

Surgery Today
|December 13, 2005
PubMed
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Buerger's disease (a peripheral arterial occlusive disease) incidence and recurrence appear to be decreasing in northern Thailand. This trend aligns with observations in Western countries and Japan, suggesting a potential decline in this condition among young male smokers.

Area of Science:

  • Vascular Medicine
  • Epidemiology
  • Public Health

Background:

  • Buerger's disease is a rare peripheral arterial occlusive disease (PAOD) primarily affecting young male smokers.
  • It is more prevalent in Asia, the Middle East, and Eastern Europe compared to North America and Western Europe.

Purpose of the Study:

  • To investigate the trends in prevalence and recurrence of Buerger's disease.
  • To analyze changes at a referral hospital in northern Thailand over a 15-year period.

Main Methods:

  • Retrospective study of patients diagnosed with Buerger's disease between 1988 and 2002.
  • Diagnosis adherence to Shionoya's clinical criteria.
  • Evaluation of patient admissions for initial treatment and disease exacerbation.

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Main Results:

  • 78 patients with Buerger's disease were analyzed, with 76 males and 2 females, mean age at onset 34.1 years.
  • Admissions for Buerger's disease exacerbation significantly decreased from 1996-2002 compared to 1988-1995 (P = 0.001).
  • Predominant symptoms included burning pain (75%), digital gangrene (74%), and digital ulcers (43.5%).

Conclusions:

  • The incidence of Buerger's disease recurrence appears to be decreasing at the studied institution.
  • This observed decrease aligns with reported trends in Western countries and Japan.
  • Further research may elucidate factors contributing to this decline.