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Related Experiment Videos

Raynaud's phenomenon: primary and secondary causes.

P Balas, A J Tripolitis, P Kaklamanis

    Archives of Surgery (Chicago, Ill. : 1960)
    |October 1, 1979
    PubMed
    Summary

    Raynaud's disease and Raynaud's phenomenon are distinct conditions. Most patients diagnosed with Raynaud's disease actually have an underlying cause, making the diagnosis one of exclusion.

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    Area of Science:

    • Vascular Medicine
    • Rheumatology

    Background:

    • Raynaud's disease and Raynaud's phenomenon are frequently conflated.
    • Distinct prognoses and treatment strategies necessitate accurate differentiation.

    Purpose of the Study:

    • To evaluate 86 patients with episodic digit ischemia over five years.
    • To differentiate between Raynaud's disease and secondary causes of digital ischemia.

    Main Methods:

    • Comprehensive evaluation including plethysmography and angiography.
    • Systematic investigation for underlying etiologies of digital ischemia.

    Main Results:

    • The majority of patients met criteria for Raynaud's disease but had identifiable underlying causes.
    • This suggests secondary Raynaud's phenomenon is more prevalent than presumed.

    Conclusions:

    • Raynaud's disease is a diagnosis of exclusion.
    • Accurate diagnosis is crucial due to differing prognoses and therapies.

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