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Primary Raynaud Disease

  • David Go und Jay H. Shubrook
Veröffentlicht/Copyright: 1. Juni 2019
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Journal of Osteopathic Medicine
Aus der Zeitschrift Journal of Osteopathic Medicine Band 119 Heft 6

Keywords: Raynaud disease; Raynaud phenomenon

A 24-year-old woman presented with episodic painful tingling, numbness, and discoloration in her fingers on both hands upon exposure to cold for the past 6 years. Her medical history included infrequent migraines managed with 200 mg of ibuprofen as needed. She did not smoke tobacco or drink alcohol. Physical examination was negative for any skin ulcerations, calcinosis, or fibrosis. She voluntarily reproduced her symptoms by running her fingers under cold water, which resolved after 10 minutes, and Raynaud disease was diagnosed. She was referred to rheumatology to evaluate for secondary causes such as systemic lupus erythematosus, scleroderma, and connective tissue disease.

Diagnosis of primary Raynaud disease was made based on the 3-step criteria of cold insensitivity, dermal color changes, and severity of symptoms.1 Raynaud disease is characterized by cold-induced arteriolar vasospasm, which causes sequential pallor, cyanosis, and rubor. Symptoms typically occur bilaterally on the extremities, but they can occur on the nose, ears, and areolas.1 This patient was counseled to avoid direct contact with cold objects and to keep her extremities warm. If symptoms persist, nifedipine or sildenafil may be considered.2

From the Touro University College of Osteopathic Medicine–California in Vallejo.
Financial Disclosures: None reported.
Support: None reported.

*Address correspondence to David Go, OMS II, 1310 Club Dr, Vallejo, CA 94592-1187. Email:

References

1. Maverakis E , PatelF, KronenbergDG, et al.International consensus criteria for the diagnosis of Raynaud's phenomenon.J Autoimmun.2014;48-49:60-65.10.1016/j.jaut.2014.01.020Suche in Google Scholar PubMed PubMed Central

2. Herrick AL . Evidence-based management of Raynaud's phenomenon. Ther Adv Musculoskelet Dis. 2017;9(12):317-329.10.1177/1759720X17740074Suche in Google Scholar PubMed PubMed Central

Received: 2019-03-21
Accepted: 2019-03-25
Published Online: 2019-06-01
Published in Print: 2019-06-01

© 2019 American Osteopathic Association

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Artikel in diesem Heft

  1. LETTERS TO THE EDITOR
  2. Response
  3. SURF
  4. Osteopathic Cranial Manipulative Medicine and the Blood-Brain Barrier: A Mechanistic Approach to Alzheimer Prevention
  5. OMT MINUTE
  6. Osteopathic Manipulative Treatment for Temporomandibular Disorders
  7. EDITORIAL
  8. Management of Temporomandibular Disorders: New Opportunities for Osteopathic Medicine?
  9. LETTERS TO THE EDITOR
  10. Osteopathic Cranial Manipulative Medicine as an Adjunct for Concussion Management
  11. AOA COMMUNICATION
  12. Official Call: 2019 Annual Business Meeting of the American Osteopathic Association
  13. Proposed Amendments to the AOA Constitution and Bylaws
  14. ORIGINAL CONTRIBUTION
  15. Evaluation of the Use of a Force Diagram in the Management of Temporomandibular Joint Sounds: A Prospective Cross-sectional Study
  16. Bone Mineral Density Among Men and Women Aged 35 to 50 Years
  17. BRIEF REPORT
  18. Relationship Between Elevated Automatic Blood Pressure Readings and Manual Blood Pressure Readings in Adult Patients With Normal and High Body Mass Index
  19. Effect of Osteopathic Obstetrical Management on the Duration of Labor in the Inpatient Setting: A Prospective Study and Literature Review
  20. REVIEW
  21. Dermoscopy: A Review of the Structures That Facilitate Melanoma Detection
  22. SPECIAL COMMUNICATION
  23. Integrating Osteopathic Philosophy in Cancer Care
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  27. Primary Raynaud Disease
https://doi.org/10.7556/jaoa.2019.072
Schlagwörter für diesen Artikel
Raynaud disease; Raynaud phenomenon
Creative Commons
BY-NC-ND 4.0

Artikel in diesem Heft

  1. LETTERS TO THE EDITOR
  2. Response
  3. SURF
  4. Osteopathic Cranial Manipulative Medicine and the Blood-Brain Barrier: A Mechanistic Approach to Alzheimer Prevention
  5. OMT MINUTE
  6. Osteopathic Manipulative Treatment for Temporomandibular Disorders
  7. EDITORIAL
  8. Management of Temporomandibular Disorders: New Opportunities for Osteopathic Medicine?
  9. LETTERS TO THE EDITOR
  10. Osteopathic Cranial Manipulative Medicine as an Adjunct for Concussion Management
  11. AOA COMMUNICATION
  12. Official Call: 2019 Annual Business Meeting of the American Osteopathic Association
  13. Proposed Amendments to the AOA Constitution and Bylaws
  14. ORIGINAL CONTRIBUTION
  15. Evaluation of the Use of a Force Diagram in the Management of Temporomandibular Joint Sounds: A Prospective Cross-sectional Study
  16. Bone Mineral Density Among Men and Women Aged 35 to 50 Years
  17. BRIEF REPORT
  18. Relationship Between Elevated Automatic Blood Pressure Readings and Manual Blood Pressure Readings in Adult Patients With Normal and High Body Mass Index
  19. Effect of Osteopathic Obstetrical Management on the Duration of Labor in the Inpatient Setting: A Prospective Study and Literature Review
  20. REVIEW
  21. Dermoscopy: A Review of the Structures That Facilitate Melanoma Detection
  22. SPECIAL COMMUNICATION
  23. Integrating Osteopathic Philosophy in Cancer Care
  24. CASE REPORT
  25. Osteopathic Approach to the Treatment of a Patient With an Atypical Presentation of Coccydynia
  26. CLINICAL IMAGES
  27. Primary Raynaud Disease
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