Coexistence of Raynaud's syndrome and erythromelalgia.
نویسنده
چکیده
A 40-year-old woman had had, for 5 years, episodes of pallor and blue discoloration of the fingers and toes after cooling and emotional exertion. During these 5 years she also had intolerance to warming of the feet, which manifested attacks of pulsating pain and burning sensations. She had about ten cold and five to seven hot induced paroxysms daily. There were no trophic changes or edema of the fingers and toes. Distal pulsation remained. Adson's and Allen's tests were negative. A cold provocation test induced pallor and blue discoloration of the fingers and toes. A hot provocation test induced pulsating pain and red discoloration of the feet. Biochemical investigation revealed accelerated ADP induced platelet aggregation. The patient was otherwise healthy. She was given nifedipine (40 mg daily), dihydroergocristine (1-5 mg daily), aspirin (750 mg daily), and hyperbaric oxygen sessions (1-7 atmospheres absolute, 45 min, seven sessions). After 3 weeks she was discharged and no longer had either hot or cold induced paroxysms.
منابع مشابه
Coexistence of erythromelalgia and Raynaud's phenomenon.
Erythromelalgia is characterized by spontaneous recurrent episodes of redness, heat, and pain of the extremities that can be triggered or worsened by heat. Raynaud's phenomenon occurs in response to cold exposure and presents as pallor of the fingers or toes, often followed by cyanosis and rubor. Although the 2 conditions may appear to be opposites in symptomatology and clinical presentation, t...
متن کاملSerotonin reuptake inhibitors, Raynaud's phenomenon and erythromelalgia.
(Letter to the Editor) SIR, We read with great interest the report by Coleiro et al. [1] describing a pilot study on the tolerability and efficiency of fluoxetine for the treatment of Raynaud's phenomenon. This study confirmed previous case reports suggesting the usefulness of selective serotonin reuptake inhibitors (SSRIs) in the management of Raynaud's phenomenon [2, 3]. Here we describe for ...
متن کاملTemperature-associated vascular disorders: Raynaud’s phenomenon and erythromelalgia
Superficially, Raynaud's phenomenon, a disease associated with cold, and erythromelalgia, a warmth related disorder, could be considered the antithesis of each other. However, both these microcirculatory disorders, first described in the second half of the nineteenth century, have many features in common and, indeed, may share the same etiology, that is microvascular ischemia. The complicated s...
متن کاملRaynaud's phenomenon.
Vascular acrosyndromes constitute a common reason for physician visits. They are associated with connective tissue disease; for example, 90% of patients with scleroderma experience Raynaud's phenomenon. The rheumatologist must strive to establish the diagnosis, to identify a potential underlying cause, and to prescribe effective treatment when the symptoms are incapacitating. Raynaud's phenomen...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Lancet
دوره 335 8693 شماره
صفحات -
تاریخ انتشار 1990