Raynaud's disease I73.0

Raynaud, 1862

Primary Raynaudian phenomenon. Negative variant: digitus mortuus.

Remark: Basically the clinical symptoms of Raynaud's disease (synonymous with "primary Raynaud's syndrome") do not differ from those of Raynaud's syndrome and are treated and updated under this comprehensibility.

Idiopathic, triggers: Cooling stimulus, especially temperatures around 12-16 °C, endocrine factors: dysfunction of the thyroid and pituitary gland, frequent familial occurrence.

Occurs in early adulthood, especially in women.

Especially the index and middle fingers are affected.

Symmetrical seizures in three stages, accompanied by paresthesia, numbness, tingling and burning sensation and pain at the transition from cyanosis to redness.

• Phase 1: Paleness of one or more fingers.
• Stage 2: Cyanosis.
• Stage 3: Redness due to reactive hyperemia.

The individual phases may vary in severity. Duration of the attack: about 10 minutes in mild cases and initial stages, 30 to 120 minutes in severe cases or later stages.

• In the chronic stage dystrophic skin of the affected fingers, nail dystrophy, wound healing disorders. The formation of symmetrical necroses limited to the fingertips, ranging from symmetrical to pinhead-sized necroses, is possible.

Clinic, nail fold capillaroscopy, pulse oscillography with cold provocation.

S. and Raynaud's syndrome

According to the Raynaudian phenomenon.

Recurrent course. Development of sclerodactyly is possible.

1. Raynaud AGM (1862) De l'asphyxie locale et de la gangrène symétrique des extrémités. Doctoral thesis, Rignoux, Paris
2. Raynaud M (1888) On asphyxia and symmetrical gangrene of the extremities 1862 and new researches on the nature and treatment of local asphyxia of the extremities 1874 Translated by T. Barlow In: Selected Monographs, New Sydenham Society, London, S. 1-199