Vayssairat M, Fiessinger J N, Housset E
Nouv Presse Med. 1979 Jun 9;8(26):2177-80.
A prospective study of 100 consecutive patients hospitalised with a Raynaud phenomenone is presented. In 82 patients, a precise etiology was pound, most often a collagen disease (50 cases) and amongst this group generalised scleroderma was the most commun (n = 37). Other etiologies were very divers: inflamatory artertis, atheroma, local mecanical causes, emboligenic. In 18 patients, no etiology was found: the age, the sex, the context and the benign cours in this patients was such that a diagnosis of idiopathic Raynaud's phenomenone. This results lead to the suggestion of a method for the investigation of Raynaud's phenomenone. The consequences are therapeutic, the etiological context foring the base of the treatment prescribe.
本文对100例连续因雷诺现象住院的患者进行了前瞻性研究。在82例患者中，发现了确切病因，最常见的是胶原病（50例），在这一组中，系统性硬化症最为常见（n = 37）。其他病因非常多样：炎性动脉炎、动脉粥样硬化、局部机械性原因、栓塞性病因。18例患者未发现病因：这些患者的年龄、性别、病情背景及良性病程提示为特发性雷诺现象。这些结果提示了一种雷诺现象的研究方法。其结果具有治疗意义，病因背景构成了所开治疗方案的基础。
