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Pathophysiology

Precipitating Factor; Gender: Male Age: 20-60 y/o History (HPN, Hyperlipidemia Genetics Race: Southeast Asian

Predisposing Factors; Lifestyle (Cigarette smoking, chewing of tobacco, sedentary lifestyle) Environment: exposure to cold, stressful environment

CIGARETTE SMOKING

Nicotine

Carbon Monoxide

Carbon Dioxide

Vasoconstriction of arteries

Destruction of the lining of blood vessel

Decrease Oxygen Transport to tissue

TRIGGERS AUTOIMMUNE RESPONSE (IDIOPATHIC)

Tissue Ischemia

Anaerobic Metabolism

Lactic Acid Formation

Intermittent Claudication

cyanosis

Tissue Hyoxia

Rest Pain

Trophic changes dryness, scaling of skin, loss of hair, thickened and ridge toenails

Tissue Necrosis

Numbness

Pallor

Coldness

Tissue Ulceration

Gangrene

Amputation

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