A Case of Buerger’s Disease with Anticardiolipin Antibodies

Abstract

A 48-year-old man presented with non-healing right great and fifth finger ulceration. He smoked two packs of cigarettes a day for 20 years. Arteriography demonstrated occlusion of the tibial popliteal and anterior tibial arteries. The collateral arteries and a so-called corkscrew appearance were also observed, leading us a diagnosis of Buerger’s disease. Anticardiolipin autoantibodies were also detected, but no thrombosis was observed aside from in an artery of the lower limb. The ulcers healed after multidisciplinary treatment including smoking cessation, antiplatelet therapy,prostaglandin analogue, and percutaneous transluminal angioplasty. Skin Research, 20 : 242-246, 2021