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Leriche's syndrome
Aortoiliac vascular insufficiency resulting from chronic occlusive disease below the renal arteries.
Clinical manifestations:
- bilateral hip, thigh, & buttock claudication
- symmetric muscle atrophy of bilateral lower extremities
- due to chronic ischemia (peripheral arterial disease)
- impotence &/or erectile dysfunction may occur in males
Radiology:
- angiography shows atherosclerosis in the abdominal aorta & iliac artery
Differential diagnosis:
- abdominal aortic aneurysm
General
syndrome
References
- Stedman's Medical Dictionary 26th ed, Williams &
Wilkins, Baltimore, 1995
- Medical Knowledge Self Assessment Program (MKSAP) 11, 16.
American College of Physicians, Philadelphia 1998, 2012
- Harrison's Principles of Internal Medicine, 13th ed.
Isselbacher et al (eds), McGraw-Hill Inc. NY,
1994, pg 1134
- Ferri's Clinical Advisor, Instant Diagnosis and Treatment,
Ferri FF (ed), Mosby, Philadelphia, 2003. pg 1015