Raynaud's Phenomenon

Question 1

What are the characteristics of primary Raynaud’s

Answer 1

Common
Young women
Symmetrical
Benign

Question 2

What are the characteristics of secondary Raynaud’s

Answer 2

Asymmetrical, thumbs often affected
Digital infarcts
Macroscopic nailfold capillary loops
Autoantibodies

Highly predictive of AI rheumatic disorder, SLE, systemic sclerosis

Question 3

How would you mamage Raynaud’s

Answer 3

Keep warm
CCB (nifedipine)
PDE5 inhibitor (sildenafil)
PGI infusions
Endothelin receptor antagonist (bosentan)