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Superficial migratory thrombophlebitis. Thromboangiitis obliterans (Buerger's disease)


European Journal of Dermatology. Volume 10, Number 5, 405-6, July - August 2000, Votre diagnostic !

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Author(s) : C. Peña-Penabad, W. Martínez, J. del Pozo, J. García-Silva, E. Fonseca

Summary : A 28-year-old male was referred for the evaluation of a painful swelling evolving over 3 years with varying location on his left sole. He had no malaise or systemic symptoms. Past medical history included an episode of thrombophlebitis treated with heparin, and outbreaks of self-resolving painful nodular lesions on his left leg without a determined diagnosis. He was a smoker of 30 cigarettes per day. Examination revealed an indurated red and warm plaque with a prominent posterior edge, located on his left plantar arch (Fig. 1). There was also a diffuse red-violaceous coloration on his left big toe (Fig. 2). The left dorsal pedal pulse was diminished.

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