Research Papers
Patterns of chronic ischaemia of the upper limbs in the central province of Sri Lanka
Authors:
P. C. A. Ratnatunga ,
University of Peradeniya, LK
About P. C. A.
Department of Surgery, Faculty of Medicine
P. B. Hewavithana,
University of Peradeniya, LK
About P. B.
Department of Radiology, Faculty of Medicine
S. Rosairo,
University of Peradeniya, LK
About S.
Department of Radiology, Faculty of Medicine
N. V. I. Ratnatunga
University of Peradeniya, LK
About N. V. I.
Department of Pathology, Faculty of Medicine
Abstract
Introduction: A 30-year audit and management experience of chronic upper limb ischaemia in the Central Province of Sri Lanka is detailed. No previous Sri Lankan documentation on this topic exists.
Materials and Methods: Data collected prospectively from 1974 to 2004 using a standard protocol was analysed.
Results: Patterns of chronic ischaemic disorders seen dominantly among the 290 patients included in the study were, Aortic Arch Syndrome caused by both atherosclerosis (n=11) and Takayasu’s aorto – arteritis (n=7), Thoracic Outlet Syndrome (n=6), occlusion of major arteries of supply to the upper limb due to atherosclerosis (n=29), thromboangitis obliterans (n=188), giant cell arteritis (n=1), chronic arterial trauma (n= 2), chronic embolism (n= 3), haematological causes (n=4), Ergot induced vaso spasm (n=1), and vasculitides (n=38 ).Their management is detailed.
Discussion and conclusions: Knowing the Sri Lankan patterns will help local clinicians to expedite it’s differential diagnosis.
How to Cite:
Ratnatunga, P.C.A. et al., (2017). Patterns of chronic ischaemia of the upper limbs in the central province of Sri Lanka. Sri Lanka Journal of Medicine. 26(2), pp.26–37. DOI: http://doi.org/10.4038/sljm.v26i2.38
Published on 28 Dec 2017.
Peer Reviewed
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