Chinese Medical Sciences Journal ›› 2022, Vol. 37 ›› Issue (4): 353-358.doi: 10.24920/004078

• Case Report • Previous Articles     Next Articles

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

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

  1. 1Department of Anesthesiology, Affiliated Qingdao Central Hospital of Qingdao University & Second Affiliated Hospital of Medical College of Qingdao University, Qingdao, Shandong 266042, China
    2Department of Cardiovascular Surgery, Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China
    3Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2022-02-05 Accepted:2022-04-19 Published:2022-12-31 Online:2022-04-26
  • Contact: Zijia Liu E-mail:liu-zj02@126.com

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.

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

Copyright © 2021 Chinese Academy of Medical Sciences.  京公安备110402430088  京ICP备06002729号-1  Powered by Magtech.

Supervised by National Health & Family Plan Commission of PRC

9 Dongdan Santiao, Dongcheng district, Beijing, 100730 China

Tel: 86-10-65105897  Fax:86-10-65133074 

E-mail: cmsj@cams.cn  www.cmsj.cams.cn

Copyright © 2018 Chinese Academy of Medical Sciences

All right reserved.

京公安备110402430088  京ICP备06002729号-1