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Living with Thromboangiitis obliterans

A condition (Buerger disease) in which blood vessels in the arms and legs swell and block, reducing blood flow.

Understanding Thromboangiitis obliterans

Thromboangiitis obliterans, also called Buerger disease, is a condition in which small and medium-sized blood vessels in the arms or legs become inflamed and blocked.

Less blood flow can damage tissues. Symptoms may start in the fingertips or toes and move up the arms or legs. It starts in adulthood. GARD says it almost always occurs in people who use tobacco.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Coldness, numbness, tingling, or burning
  • Pain and painful muscle cramps
  • Raynaud phenomenon (fingers or toes change color)
  • Skin ulcers (open sores)
  • Blue skin on the hands or feet (acrocyanosis)
  • Tissue death (gangrene)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Vasculitis Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Kidney specialists (nephrologists)
Expert care
Expert lists: Vasculitis Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Vasculitis Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How does tobacco use relate to my condition, and what help is available to quit?
Which specialists, such as a vascular specialist, should I see?
How can I protect my fingers and toes from sores?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Recessive

GARD says it almost always occurs in people who use tobacco, but it's not known exactly how tobacco plays a role. Some people may have a genetic tendency, and the immune system seems to play a large role.

Kidney

Also known as: buerger disease; buerger's disease; presenile gangrene; thromboangiitis obliterans [buerger's disease]

Patient organizations

Source: NIH GARD · Thromboangiitis obliteransGARD ID 5969 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Thromboangiitis obliterans.

Explore the Thromboangiitis obliterans blog

Explore research for Thromboangiitis obliterans

Explore actively recruiting Thromboangiitis obliterans studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Thromboangiitis obliterans with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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