A Case of Delayed Diagnosis of Buerger Disease with Bilateral Intractable Foot Ulcer Accompanied by Spina Bifida Occulta

Abstract

We report a case of delayed diagnosis of Buerger disease with bilateral intractable foot ulcer accompanied by spina bifida occulta. The patient was 33-year-old man who was diagnosed as spina bifida occulta from at his birth. At the aged 30, he had foot ulcer which might be caused by spina bifida occulta. His ulcer was cured by the treatment with debrisis of wound and the surgical treatment for the tethered cord syndrome. After the 2 years, intractable foot ulcer recurred, and he was referred to our hospital for the further examination and treatment. He was diagnosed as Buerger disease due to the findings of characteristic lower extremity angiography and physical examination. We treated the patient by cessation of nicotine and intravenous iloprost and usage of ArtAssist which enhances the angiogenesis.