AI Article Synopsis

  • - Aortoiliac occlusive disease (AIOD) is a severe condition linked to factors like advanced atherosclerosis, diabetes, and smoking, often leading to obstructive blood flow issues in the lower limbs.
  • - Two Caucasian patients experienced painful ulcers on their legs and claudication, with severe blockages in their aorta and iliac arteries confirmed by angiography and ultrasonography.
  • - Early detection and surgical intervention significantly enhance patient outcomes by improving both quality of life and the chances of saving affected limbs.

Article Abstract

Aortoiliac occlusive disease (AIOD) is non-inflammatory obstructive vasculopathy commonly affecting patients with advanced atherosclerosis, diabetes mellitus, or elevated cholesterol levels, and subjects with other risk factors such as cigarette smoking.Two Caucasian patients (a 55-year-old woman and a 56-year-old man), with ulcerous cutaneous lesions of AIOD are reported. In both cases, medical history comprises initial lower limb claudication, multiple painful ulcers along the legs and absence of superficial femoral artery pulse. Severe obstruction of both infrarenal aorta and iliac arteries on the left side was demonstrated by contrast angiography and Doppler ultrasonography.The evolution of the disease showed some characteristic findings, including pyoderma gangrenosum-like ulcerations as the initial cutaneous manifestation of AIOD, multiple painful ulcers along the lower extremities, and aorto-iliac occlusive disease due to atherosclerosis.Early diagnosis and surgical reconstruction of vessels in patients with AIOD improved quality of life and limb salvage rates.

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http://dx.doi.org/10.3897/folmed.64.e64221DOI Listing

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