Raynaud's Phenomenon (2) Flashcards

1
Q

What occurs here?
→ What is the mechanism?

How does it present?

10% have a primary type. What are some of the secondary causes?

How is it managed?

A

➊ Fingers (and less commonly, toes) turn different colour in response to certain triggers such as cold or stress
→ Overly-sensitive vessels spasm during a trigger, decreasing its blood flow, therefore causing a colour change

➋ Well demarcated cold-induced colour change of fingertips from white → blue → red

➌ Scleroderma, SLE etc.

➍ • Avoid triggers
DHP-CCBs - Cause peripheral vasodilation
‣ ACEi and Prostacyclin are other options

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