Multidisciplinary Treatment for Severe Secondary Raynaud's Phenomenon: A Case Report.

Leng Cui-bo; Lin Guan-jun; Cao Hong; Liu Zi-jia

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Multidisciplinary Treatment for Severe Secondary Raynaud's Phenomenon: A Case Report.

Author: Leng CUI-BO ^{1
,

2} ; Lin GUAN-JUN ³ ; Cao HONG ^{1
,

2} ; Liu ZI-JIA ^{4
,

5}
Author Information

1. Department of Anesthesiology, Affiliated Qingdao Central Hospital of Qingdao University
2. Second Affiliated Hospital of Medical College of Qingdao University, Qingdao, Shandong 266042, China.
3. Department of Cardiovascular Surgery, Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China.
4. Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
5. Peking Union Medical College, Beijing 100730, China.
Publication Type:Journal Article
Keywords: multidisciplinary; secondary Raynaud’s phenomenon; stellate ganglion block
MeSH: Female; Humans; Aged; Hypothyroidism/complications*; Raynaud Disease/diagnosis*
From: Chinese Medical Sciences Journal 2022;37(4):353-358
CountryChina
Language:English
Abstract: Raynaud's phenomenon is a symptom complex manifested as intermittent fingertip ischemia caused by cold or other sympathetic drivers. Secondary Raynaud's phenomenon is often more severe and could even lead to finger ulceration, making it particularly complicated to treat. We describe a case of severe Raynaud's phenomenon secondary to subclinical hypothyroidism lasting for more than 6 hours in a 65-year-old woman. The patient was also diagnosed with hypothyroidism, epilepsy, and secondary soft tissue infection of the right middle and ring fingers. After careful multidisciplinary consultation and discussion, the patient received vasodilation, anticoagulation, thyroxine supplementation, stellate ganglion block, hyperbaric oxygen therapy and debridement. The patient responded well to the medication, avoiding amputation or obviously dysfunction. Multidisciplinary team gathering the doctors from different departments proposes appropriate strategies for patients with severe Raynaud's phenomenon and could improve the prognosis and satisfaction of patient effectively.