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claudication
Limping, usually referring to intermittent claudication.
Etiology:
1) arteriosclerosis (intermittent claudication)
2) lumbar spinal stenosis & disk disease (neurogenic claudication)
3) embolic disease
4) Buerger's disease
5) vasculitis
a) Takayasu's disease
b) giant cell (temporal) arteritis
6) pharmacologic agents
- ergot alkaloids
7) ileofemoral vein thrombosis (DVT) with secondary arterial insufficiency
8) homocystinuria
9) adventitial cyst
10) entrapment syndrome
11) fibromuscular dysplasia
12) reflex sympathetic dystrophy
13) persistent sciatic artery
Clinical manifestations:
- pain relieved by changes in position, not simply by resting suggests lumbar spinal stenosis rather than arteriosclerosis
- pain at night relieved by changes in position suggests lumbar spinal stenosis [4]
Specific
intermittent claudication; vascular claudication; Charcot's syndrome; myasthenia angiosclerotica
neurogenic claudication; pseudoclaudication
General
sign/symptom
References
- Stedman's Medical Dictionary 26th ed, Williams &
Wilkins, Baltimore, 1995
- Saunders Manual of Medical Practice, Rakel (ed), WB Saunders,
Philadelphia, 1996, pg 209-211
- Geriatric Review Syllabus, 9th edition (GRS9)
Medinal-Walpole A, Pacala JT, Porter JF (eds)
American Geriatrics Society, 2016
- Haig AJ, Park P, Henke PK, Yamakawa KS, Tomkins-Lane C,
Valdivia J, Loar S.
Reliability of the clinical examination in the diagnosis of
neurogenic versus vascular claudication.
Spine J. 2013 Dec;13(12):1826-34.
PMID: 24041916 Free PMC Article