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Claudication in the Young Patient

Section of Vascular Surgery, Pennsylvania Hospital

Keith D. Calligaro, M.D.

University of Pennsylviania School of Medicine, Philadelphia

Matthew J. Dougherty, M.D.

Section of Vascular Surgery, Pennsylvania Hospital

In young patients, generally defined as those under 40 years of age, intermittent claudication (IC) is relatively rare and represents a different spectrum of pathology from IC in older patients. Atherosclerosis in older patients is the most common etiology, but appears to represent a distinct clinical entity with a more virulent course. Furthermore, other causes of lower extremity ischemia play a more prominent role in young patients. These include: (1) popliteal artery entrapment syndrome; (2) traumatic occlusion; (3) adventitial cystic disease; (4) exercise induced compartment syndrome; (5) repetitive trauma; (6) congenital arterial anomalies; and (7) ergotism. We outline the important features of the various causes of (IC) in the young and review the facets of diagnosis and management of these patients.

Key Words: Intermittent claudication • young patients • etiology • management

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 13, No. 2, 27-38 (2000)
DOI: 10.1177/153100350001300206


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