Raynaud's disease and the Raynaud's phenomenon

2021-08-12 04:08 PM

Raynaud's phenomenon is symptoms similar to Raynaud's diseases, but the cause is determined to be caused by a number of other diseases.

Raynaud's disease is a vascular disease. When the patient is exposed to a cold environment, the blood vessels at the fingertips and toes will constrict, causing a pale purple tip, especially the fingertips. The disease of unknown cause, more common in women.

Raynaud's phenomenon is symptoms similar to Raynaud's diseases, but the cause is determined to be caused by a number of other diseases.

Causes

Raynaud's disease is of unknown cause.

Raynaud's phenomenon (Raynaud's syndrome) is determined to be caused by one of the following causes:

Vascular diseases, such as Buerger's disease, arteriosclerosis, thromboembolism ...

Connective tissue diseases, such as scleroderma, rheumatoid arthritis, lupus ...

Due to side effects when using some drugs such as ergotamine, methysergide, beta-blockers ...

Because you must constantly use your hands to use machines with high vibrations such as saws, drills ... or have to constantly work with your fingers, such as clerks typing, musicians playing the piano.

Diagnose

Diagnosis is mainly based on observed symptoms, such as:

When exposed to cold temperatures, the tips of the fingers and toes become white, due to the vasoconstriction phenomenon.

After that, the bleeding is slow and the tips of the fingers are pale. Often accompanied by sensory disorders such as tingling, sharp pain ...

When it is warmed up, blood circulation is restored, the red-pink tips return.

For Raynaud's phenomenon, it is necessary to determine the cause.

Treatment

For Raynaud's phenomenon (Raynaud's syndrome), diagnosis determines and treats the cause of this phenomenon.

In both cases, symptomatic treatment requires:

Advise the patient not to smoke, as tobacco makes the illness worse.

If necessary, a vasodilator such as diazoxide, hydralazine ...

Severe cases may need sympathetic nerve resection function to adjust the diameter of the blood vessels.

In addition, instruct patients to always keep hands and feet warm, such as getting into the habit of wearing gloves and socks when exposed to cold environments.