欧洲血管医学学会指南——雷诺现象的诊断与管理

ESVM guidelines - the diagnosis and management of Raynaud's phenomenon.

作者信息

Belch Jill, Carlizza Anita, Carpentier Patrick H, Constans Joel, Khan Faisel, Wautrecht Jean-Claude, Visona Adriana, Heiss Christian, Brodeman Marianne, Pécsvárady Zsolt, Roztocil Karel, Colgan Mary-Paula, Vasic Dragan, Gottsäter Anders, Amann-Vesti Beatrice, Chraim Ali, Poredoš Pavel, Olinic Dan-Mircea, Madaric Juraj, Nikol Sigrid, Herrick Ariane L, Sprynger Muriel, Klein-Weigel Peter, Hafner Franz, Staub Daniel, Zeman Zan

机构信息

1 University of Dundee School of Medicine, Dundee, United Kingdom.

2 Azienda Ospedaliera S.Giovanni-Addolorata, Rome, Italy.

出版信息

Vasa. 2017 Oct;46(6):413-423. doi: 10.1024/0301-1526/a000661. Epub 2017 Sep 12.

DOI:10.1024/0301-1526/a000661

PMID:28895508

Abstract

Regarding the clinical diagnosis of Raynaud's phenomenon and its associated conditions, investigations and treatment are substantial, and yet no international consensus has been published regarding the medical management of patients presenting with this condition. Most knowledge on this topic derives from epidemiological surveys and observational studies; few randomized studies are available, almost all relating to drug treatment, and thus these guidelines were developed as an expert consensus document to aid in the diagnosis and management of Raynaud's phenomenon. This consensus document starts with a clarification about the definition and terminology of Raynaud's phenomenon and covers the differential and aetiological diagnoses as well as the symptomatic treatment.

摘要

关于雷诺现象及其相关病症的临床诊断、检查和治疗内容丰富，但目前尚未就该病症患者的医学管理发布国际共识。关于这一主题的大多数知识来自流行病学调查和观察性研究；可用的随机研究很少，几乎都与药物治疗有关，因此本指南是作为一份专家共识文件制定的，以协助雷诺现象的诊断和管理。本共识文件首先对雷诺现象的定义和术语进行了澄清，并涵盖了鉴别诊断、病因诊断以及对症治疗。