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Perspectives in Vascular Surgery 2000; Volume 13(Number 3): 0027-0038
DOI: 10.1055/s-2000-9519
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel. +1(212)584-4662.

Claudication in the Young Patient

Richard T. Krug, Keith D. Calligaro, Matthew J. Dougherty
  • Fellow, Section of Vascular Surgery, Pennsylvania Hospital (RTK); Chief, Section of Vascular Surgery, Pennsylvania Hospital; Associate Clinical Professor, University of Pennsylvania School of Medicine, Philadelphia (KDC); Section of Vascular Surgery, Pennsylvania Hospital; Assistant Clinical Professor, University of Pennsylvania School of Medicine, Philadelphia, PA (MJD).
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

-In young patients, generally defined as those under 40 years of age, intermittent claudication (IC) is relatively rare and represents a different spectrum of pathology from IC in older patients. Atherosclerosis in older patients is the most common etiology, but appears to represent a distinct clinical entity with a more virulent course. Furthermore, other causes of lower extremity ischemia play a more prominent role in young patients. These include: (1) popliteal artery entrapment syndrome; (2) traumatic occlusion; (3) adventitial cystic disease; (4) exercise induced compartment syndrome; (5) repetitive trauma; (6) congenital arterial anomalies; and (7) ergotism. We outline the important features of the various causes of (IC) in the young and review the facets of diagnosis and management of these patients.

KEYWORD

Intermittent claudication - young patients - etiology - management

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