Chinese Medical Sciences Journaldoi: 10.24920/004078

• Case Reports •     Next Articles

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

Cuibo Leng1, Guanjun Lin2, Hong Cao1, Zijia Liu3*   

  1. 1Department of Anaesthesiology, The Affiliated Qingdao Central Hospital of Qingdao University (The Second Affiliated Hospital of Medical College of Qingdao University) , Qingdao 266042, China

    2Department of Cardiovascular Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266000, China

    3Department of Anaesthesiology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China

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 mid-60-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. Finally, the female patient responded well, avoiding amputation or obviously dysfunction. Multidisciplinary team  gathering the doctors from different departments may propose an appropriate strategy for patients with severe Raynaud's phenomenon  and could improve the prognosis and satisfaction of patient effectively.

Key words: secondary Raynaud's phenomenon, multidisciplinary; stellate ganglion block

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