Lege Artis Medicinae

[What may hurt the patient’s leg? Lower extremity ischaemia]

FENDRIK Krisztina1, BIRÓ Katalin1, KOLTAI Katalin1, ENDREI Dóra1, TÓTH Kálmán1, KÉSMÁRKY Gábor1

SEPTEMBER 10, 2019

Lege Artis Medicinae - 2019;29(08-09)

DOI: https://doi.org/10.33616/lam.29.034

[Peripheral artery disease (PAD) is of high prevalence, and one of the most common clinical manifestations of the atherosclerosis beside ischaemic heart disease and cerebrovascular disease. PAD should be considered as a systemic disease, PAD patients have two times higher ten-year cardiovascular mortality than the normal population. For these reasons, the early recognition of the disease, the appropriate secondary preventive medical and non-medical therapy are of great importance. Risk stratification, proper physical examination, ankle pressure, ankle-brachial index, toe pressure, transcutaneous partial tissue oxygen pressure measurement and duplex ultrasound are the cornerstones to an early diagnosis. This summary aims at calling attention to the fact that lower extremity pain can not only be caused by musculo­sceletal diseases but limb and/or life-threatening limb ischaemia can be revealed in the background. ]

AFFILIATIONS

  1. Pécsi Tudományegyetem Klinikai Központ, I. Sz. Belgyógyászati Klinika, Angiológiai Tanszék

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