[Is this iatrogenic pathology or rare disease?]

Area of Science:

• Vascular Surgery
• Pediatric Pathology
• Forensic Medicine

Background:

• Buerger's disease is a rare inflammatory condition affecting limb vasculature.
• Diagnosis and treatment strategies remain challenging for vascular surgeons globally.
• The etiology of Buerger's disease is largely unknown.

Purpose of the Study:

• To present a unique case of Buerger's disease in a pediatric patient.
• To explore diagnostic difficulties and treatment implications.
• To understand the role of routine medical interventions in disease manifestation.

Main Methods:

• Case report of a 15-year-old girl with suspected iatrogenic injury.
• Forensic histological examination of affected tissues.
• Retrospective analysis of comprehensive medical documentation.

Main Results:

• Initial misdiagnosis as iatrogenic pathology following aminazine injection.
• Correct diagnosis of Buerger's disease established via forensic examination.
• Identification of routine medical manipulation as a potential trigger for disease manifestation.

Conclusions:

• Buerger's disease can present with a larvated course, mimicking other conditions.
• Accurate diagnosis requires thorough investigation, including forensic analysis.
• Medical interventions may precipitate or exacerbate underlying Buerger's disease in susceptible individuals.