Table 7.
No | Year | Authors | The number of patients | Age | Chief complaint | Duration of disease (Amputation) | Smoking status | How to diagnose the current disease | Suggested treatment | The outcome of treatment |
---|---|---|---|---|---|---|---|---|---|---|
1 | 2013 | Li et al (China)72 | 2 brothers | Case1: 33 years Case2: 27 years |
1: Erythema nodosum in the bilateral lower leg extensors and the dorsum of the right foot, without evident causes 2: Erythema nodosum on the left shank and the top of the left foot accompanied by numbness and pain in the feet, without evident reason |
Case 1: 8 years earlier Case 2: 3 years earlier |
Case 1: 5–8 cigarettes per day for 10 years Case 2: 3–5 cigarettes per day for 4 years |
Case 1: Skin biopsy confirmed erythema nodosum diagnosis Case 2: Physical exam |
Case 1: Immune suppression treatment with methotrexate, triptriolide, cyclophosphamide, prednisolone and methylprednisolone Case 2: Hormonal and microcirculation therapy (no more details) |
Case 1: Improvement with leaving a small level of pigmentation on the skin Case 2: Improvment |
2 | 2007 | Takanashi et al (Japan)73 | 1 | 33 years | Painful nodular erythema with livedo reticularis in both lower extremities | TAO diagnosis 2 years later according to clinical manifestation, angiography characteristics and histology examination of toe amputation | 30 cigarettes per day for 15 years | Skin biopsy | Oral prednisolone (20 mg daily) and NSAIDs | Recovery of skin symptoms |
3 | 1981 | Queneville et al (Canada)74 | 1 | 44 years | Painful subcutaneous indurations, some nodular others string like, over the forearms and feet, and minute periungueal infarcts 2 days later multiple inflammatory cords on the forearms, hands and feet and subungueal-splinter hemorrhage |
TAO diagnosis 1 year later according to clinical manifestation and excluding other types of vasculitis | 40 cigarettes per day | Ruling out vasculitis and cancer but there was no idea about the underlying cause of subungueal-splinter hemorrhage until the diagnosis of TAO | Heparin, steroids and vasodilators | No improvement during medical treatment but resolved later |
4 | 1980 | Rye et al (Washington, USA)75 | 1 | 57 years | Painful swallowing and an ulcer in the mucosa of left posterior hard plate or due to Necrotizing sialometaplasia | TAO diagnosis 6 years earlier and minor amputations | One pack cigarette daily | Mucosal biopsy and histology examination confirmed necrotizing sialometaplasia and showed arterial organized thrombus | Smoking cessation | Recovery |