Case Presentation: A 61-year-old male with past medical history of type 2 diabetes, hypertension, hyperlipidemia, tobacco use disorder, Raynaud phenomenon, and provoked DVT presented from an outside hospital with abrupt onset of a purpuric lower extremity rash with discoloration and ulceration of the distal fingers and toes. At the time of the patient’s DVT several [...]

Case Presentation: Introduction:Thromboangiitis obliterans, also known as Buerger disease, is a cannabis and tobacco-induced non-atherosclerotic inflammatory disease typically involving both small and medium sized vessels of the extremities. The disease can lead to multiple manifestations including superficial thrombophlebitis, cold sensitivity/ Raynaud phenomenon, digital ischemia, organ ischemia and arthralgias. Case description:A 35-year old cannabis using male, [...]

Case Presentation: A 60-year-old African American male with a recent diagnosis of thromboangiitis obliterans (Buerger’s disease) presented with new painful penile and scrotal ulcerations in the setting of digital ischemia, palmar skin lesions, bloody diarrhea, a 50-pound weight loss, and progressive dyspnea over the past six months. No vascular etiology for ischemia was found. Labs [...]