Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : March | Volume : 11 | Issue : 3 | Page : PD06 - PD08

Thromboangitis Obliterans involving Bilateral Upper limb Extremities - A Rare Case Report from Malaysia

Murali Uthamalingam, Mohammad Azhar Anis Ahmad, Fatin Najihah

1. Professor, Department of Surgery, IMS / Management and Science University, Shah Alam, Selangor, Malaysia. 2. Specialist, Department of Surgery, HTAR - Hospital, Shah Alam, Selangor, Malaysia. 3. Student, Department of Surgery, IMS / Management and Science University, Shah Alam, Selangor, Malaysia.

Correspondence Address :
Dr. Murali Uthamalingam,
Professor, Department of Surgery, International Medical School, Management and Science University,
Malaysia, Shah alam-40150, Selangor, Malaysia.


Thromboangitis Obliterans (TAO) or Buerger’s disease is a non-atherosclerotic, occlusive, progressive and highly inflammatory disorder of distal arteries seen predominantly affecting the lower limb in smokers. TAO presenting itself in upper limb or bilaterally involving the upper limb is a very rare entity. We report on a rare case of TAO in a 46-year-old gentleman who presented with bilateral upper extremity digital gangrene with 18 pack-years of smoking. Brachial and radial pulses were palpable bilaterally and were of good volume but right ulnar pulse was faintly felt, while on the left side it was not appreciated due to malunion. Further Computed Tomography (ct)- angiography showed occlusion of distal right ulnar artery, stenosis of distal left ulnar artery with bilateral poor opacification of palmar and digital arteries. This case reports on the unusual and rare presentation of TAO in upper extremity involving both limbs. The case is reported for the first time from Malaysia.


Blackish patchy lesion peripheral pulses, Middle and Index finger, Smoking, Ultrasound doppler, Upper extremity

How to cite this article :

Murali Uthamalingam, Mohammad Azhar Anis Ahmad, Fatin Najihah. THROMBOANGITIS OBLITERANS INVOLVING BILATERAL UPPER LIMB EXTREMITIES - A RARE CASE REPORT FROM MALAYSIA. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 May 26 ]; 11:PD06-PD08. Available from

DOI and Others

DOI: 10.7860/JCDR/2017/23807.9507

Date of Submission: Aug 29, 2016
Date of Peer Review: Oct 01, 2016
Date of Acceptance: Dec 11, 2016
Date of Publishing: Mar 01, 2017


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