Cheok Liang Jie, Ooi Chee Kheong
Family Medicine, National Health Group Polyclinics, Singapore.
Emergency Department, Tan Tock Seng Hospital, Singapore.
J Emerg Med. 2017 Jun;52(6):e237-e238. doi: 10.1016/j.jemermed.2017.01.001. Epub 2017 Feb 27.
Raynaud's phenomenon has multiple etiologies, ranging from occupational causes to systemic disease. Most occupational causes of Raynaud's phenomenon usually present with vascular compromise.
A 41-year-old Chinese woman presented to the emergency department with progressive pain and bluish discoloration over her right index finger after minor trauma. The clinical examination revealed discoloration over multiple fingertips on both hands. She was diagnosed with Raynaud's phenomenon with possible underlying systemic disease. Additional laboratory workup led to the diagnosis of systemic lupus erythematosus with complex regional pain syndrome. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: It is rare for the emergency physician to diagnose Raynaud's phenomenon in the setting of minor trauma. It is important to diagnose this condition because of its potential complications.
雷诺现象有多种病因，从职业因素到全身性疾病。雷诺现象的大多数职业病因通常表现为血管受损。
一名41岁的中国女性因右手食指轻微创伤后出现进行性疼痛和手指发蓝，前往急诊科就诊。临床检查发现双手多个指尖均有变色。她被诊断为雷诺现象，可能存在潜在的全身性疾病。进一步的实验室检查确诊为系统性红斑狼疮合并复杂性区域疼痛综合征。急诊科医生为何应了解此情况？：急诊科医生在轻微创伤情况下诊断雷诺现象较为罕见。鉴于其潜在并发症，诊断此病症很重要。
