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Causes and Management

Shaun T. O'Keeffe, MB, MRCPI; Bartholomew O'B. Woods, MD; Donald J. Breslin, MD; Nicholas P. Tsapatsaris, MD

Arch Intern Med. 1992;152(11):2197-2202.

Abstract
The sudden development of cyanotic lesions on the feet may be a result of atheroembolic disease or a number of medical conditions. A careful history and physical examination, basic laboratory tests, and noninvasive vascular assessment usually distinguish between medical and surgical causes and direct the choice of further investigations. Specific therapy is often available for medical conditions causing this syndrome. The management of atheroembolic disease is more controversial. In particular, further research is necessary to determine which patients need surgical intervention and which patients can be managed safely by medical therapy.

(Arch Intern Med. 1992;152:2197-2202)

Author Affiliations
From the Section of Vascular Medicine and Hypertension, Lahey Clinic Medical Center, Burlington, Mass. Dr O'Keeffe is now with the Beaumont Hospital, Dublin, Ireland.

Footnotes
Accepted for publication March 24, 1992.

Reprint requests to the Section of Vascular Medicine and Hypertension, Lahey Clinic Medical Center, 41 Mall Rd, Burlington, MA 01805 (Dr Woods).

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