Drerup C, Maier A, Ehrchen J
Klinik für Hautkrankheiten - Allgemeine Dermatologie und Venerologie, Universitätsklinikum Münster, Von-Esmarch-Str. 58, 48149, Münster, Deutschland.
Rheumatologisches Kompetenzzentrum Nordwestdeutschland, Klinik für Rheumatologie, St. Josef-Stift Sendenhorst, Westtor 7, 48324, Sendenhorst, Deutschland.
Z Rheumatol. 2019 Dec;78(10):967-978. doi: 10.1007/s00393-019-00723-z.
Raynaud's phenomenon (RP) is a frequent and painful vasospasm of small arteries localized in acral body regions (most frequently the fingers). The more frequent so-called primary RP is caused merely by a functional dysregulation of the tonus of vascular walls. In contrast, the rarer secondary RP is additionally associated with structural abnormalities of blood vessels. Knowledge of RP is important for rheumatologists because secondary RP can be associated with the presence or development of severe underlying diseases, especially with systemic sclerosis. Thus, the rheumatologist has to be aware of this condition. In this article the diagnostic procedures and the most important treatment approaches are summarized.
雷诺现象(RP)是一种常见且疼痛的小动脉血管痉挛,局限于肢体末端部位(最常见于手指)。较为常见的所谓原发性雷诺现象仅由血管壁张力的功能失调引起。相比之下,较为罕见的继发性雷诺现象还与血管结构异常有关。对于风湿病学家而言,了解雷诺现象很重要,因为继发性雷诺现象可能与严重基础疾病的存在或发展相关,尤其是与系统性硬化症有关。因此,风湿病学家必须了解这种情况。本文总结了诊断程序和最重要的治疗方法。