Wednesday, November 14, 2012

Pulseless disease- color Doppler imaging of upper limb

 This is an interesting case of a 25-year-old woman with pulse less disease of both upper limbs. Colour Doppler ultrasound of the left upper limb showed dampened flow in the entire arterial system.
Spectral Doppler showed absence of tri phasic pattern with an almost venous flow pattern in the axillary artery, the brachial artery and the radial and ulnar arteries.
What is your diagnosis based on these colour Doppler images of the left upper limb?

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  1. Replies
    1. no... This is not atherosclerosis as the areas of stenosis are diffuse and not localised to any specific segments.
      In atherosclerosis the areas of stenosis are not diffuse but localised.