Raynaud phenomenon and disorder

Question 1

Diagnosis

Answer 1

Exclude and treat underlying causes, e.g. CTDs.

Question 2

Treatment (options)

Answer 2

Total body protection from cold—layered clothing, electric blanket at night

Gloves, mittens and thick woollen socks

Avoid smoking

Vasodilators (e.g. amlodipine (o) 5–20 mg/d or nifedipine SR 30–60 mg/d) in cold weather

Topical GTN ointment—over radial artery or dorsum of hand

Consider sympathectomy