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Case Reports in Vascular Medicine
Volume 2014, Article ID 874528, 4 pages
Case Report

The Infrapopliteal Arterial Occlusions Similar to Buerger Disease: Report of Two Cases

1Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
2Tsukuba Vascular Center and Buerger Disease Research Institute, 980-1 Tatsuzawa, Moriya, Ibaraki 302-0118, Japan

Received 16 August 2014; Revised 17 October 2014; Accepted 20 October 2014; Published 6 November 2014

Academic Editor: Konstantinos A. Filis

Copyright © 2014 Kimihiro Igari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We herein present two cases that required the differential diagnosis of Buerger disease. Case 1 involved a 55-year-old male with a smoking habit who was admitted with ulcers and coldness in his fingers and toes. Angiography showed blockage in both the radial and posterior tibial arteries, which led to an initial diagnosis of Buerger disease. However, a biopsy of the right posterior tibial artery showed pathological findings of fibromuscular dysplasia (FMD). Case 2 involved a 28-year-old male with intermittent claudication who was examined at another hospital. Angiography showed occlusion of both popliteal and crural arteries, and the patient was suspected to have Buerger disease. However, computed tomography disclosed an abnormal slip on both sides of the popliteal fossa, and we diagnosed him with bilateral popliteal artery entrapment syndrome (PAES). These cases illustrate that other occlusive diseases, such as FMD and PAES, may sometimes be misdiagnosed as Buerger disease.