[Conservative therapy of acral circulatory disorders and cutaneous microangiopathies]

Despite the different pathological value of disturbances of the acral blood supply and cutaneous microangiopathies there is a need of treatment of these clinical pictures. It can extend from a simple therapeutic consultation of the patient up to the complex use of adequate rules of life, of physiotherapeutic and pharmacological measures. Under this angle of view the treatment of the angiopathic reactive position, of the digitus mortuus and Raynaud's disease is demonstrated. Of particular interest is the use of new antiviscositants in organic disturbances of the acral blood supply. The treatment of the microangiopathies should also be derived from a complex way of consideration in the sense of therapy step programmes. Taking into consideration the severity of the clinical picture the therapy of acrocyanosis, erythrocyanosis drurum puellarum, cutis marmorata, erythromelalgy, livedo racemosa, perniones, hypertensive and diabetic microangiopathy is discussed. In the secondary forms of the disturbances of the acral blood supply the treatment of the basic disease is in the foreground. The accompanying disturbances of the blood circulation may on principle be treated by means of the same measures, which are promising in the primary clinical pictures.