The official website of the Egyptian Society of Vascular Surgery

 Aetiology: Unknown but, smoking is a fixed accompanying feature, in almost all cases.
Pathology:

 The artery, the vein and the nearby nerve are incorporated in dense fibrosis with inflammatory reaction.
 Thrombosis will develop and the thrombus will be organized in late stages.
 The net result is ischaemia, phlebitis and perivascular inflammation  sever pain from the nearby sensory nerves.
Clinical  Picture:
 It affect the medium sized vessels individuals:
 Phlebitis migrans: in early cases "Passed undiagnosed"
 Pain: due to involvement of :
•   Artery  ischaemia.
•   Vein  Phlebitis.
•   Nerve   neuritis.
 Raynaud's phenomenon.
Treatment:
 Prohibit smoking.
 Sympathectomy "Lumbar" gives good results.
 Reconstructive surgery is impossible in most cases.

SOURCE: DR AYMAN SALEM'S BOOK

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