Abstract
(1) Ultimate etiology is unknown.
(2) The disease starts in the larger (viz:-
popliteal arteries) and not in the smaller
blood-vessels as Buerger claims.
(3) Immediate cause of symptoms is thrombosis
secondary to hypertrophy and degeneration
of intima; Buerger says the thrombosis is
primary and is not due to vascular changes.
(4) Operative interference should not be resorted
to except in very extreme emergencies such
as absolutely unbearable pain and moist
spreading gangrene.
(5) The disease tends to become quiescent after
the lapse of many years.
