All::Rheumatology::Diseases::Raynaud's phenomenon

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What is Raynaud's phenomenon, and what triggers it?

Exaggerated blood vessel response to cold or stress.

Raynaud's phenomenon

Who typically gets Raynaud's disease?

Young women around 30 years old with bilateral symptoms.

Raynaud's phenomenon

Name some secondary causes of Raynaud's phenomenon.

Scleroderma, rheumatoid arthritis, lupus, leukaemia, cryoglobulinaemia, vibrating tools, certain drugs, cervical rib.

Raynaud's phenomenon

What factors suggest underlying connective tissue disease in Raynaud's phenomenon?

Onset after 40, unilateral symptoms, rashes, autoantibodies, features like arthritis or SLE, digital ulcers, calcinosis, rarely chilblains.

Raynaud's phenomenon

How is Raynaud's phenomenon managed, and what's the first-line treatment?

Refer to secondary care. First-line: calcium channel blockers (e.g., nifedipine). In severe cases, IV prostacyclin (epoprostenol) infusions.

Raynaud's phenomenon