Nails Involvement in Winiwarter-Buerger Disease

Michela V.R. Starace, Aurora Alessandrini, Antonella Tosti, Bianca Maria Piraccini

Research output: Contribution to journalArticlepeer-review


Introduction: Buerger disease, or thromboangiitis obliterans, is an inflammatory and occlusive process involving small and medium size arteries and veins, which generally affects the lower limbs of young adult male with the habit of smoking. Case Presentation: This paper reports 2 patients who developed nail lesions as the first sign of Buerger disease. Conclusion: Signs and symptoms of Buerger's disease are secondary to the inflammatory process and arterial occlusion which results in severe ischemia. Involvement of nails is not common, but we found 2 different clinical features which have not been previously reported in the literature: chronic paronychia, and proximal leukonychia or onycholysis and nail bed erosion.

Original languageEnglish (US)
Pages (from-to)142-145
Number of pages4
JournalSkin Appendage Disorders
Issue number2
StatePublished - Mar 1 2022


  • Erosion nail bed
  • Leukonychia
  • Nail
  • Paronychia
  • Smoke
  • Vascular damage
  • Winiwarter-buerger disease

ASJC Scopus subject areas

  • Dermatology


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