Drerup Christian, Ehrchen Jan
Klinik für Hautkrankheiten, Allgemeine Dermatologie und Venerologie, Universitätsklinikum Münster, Von-Esmarch Str. 58, 48149, Münster, Deutschland.
Hautarzt. 2019 Feb;70(2):131-141. doi: 10.1007/s00105-018-4353-9.
Raynaud's phenomenon (RP) is a painful vasospasm of small arteries, localised in fingers and toes. Typically these body parts turn white (ischemia), then blue (deoxygenation) and then red (reperfusion). Two different types of RP exist: the common primary RP without underlying disease and the rare secondary RP, mostly associated with rheumatoid diseases such as systemic sclerosis. Thus, the dermatologist has to be aware of this condition. In this article the clinical criteria, differential diagnoses, diagnostic considerations and treatment options are discussed.
雷诺现象(RP)是一种小动脉的疼痛性血管痉挛,局限于手指和脚趾。通常这些身体部位会先变白(缺血),然后变蓝(脱氧),再变红(再灌注)。存在两种不同类型的雷诺现象:无潜在疾病的常见原发性雷诺现象和罕见的继发性雷诺现象,后者大多与类风湿性疾病如系统性硬化症相关。因此,皮肤科医生必须了解这种情况。本文讨论了其临床标准、鉴别诊断、诊断考量及治疗选择。