Langeron P
Phlebologie. 1977 Apr-Jun;30(2):189-98.
Current vascular investigations permit a better understanding and placing of Raynaud's Phenomenon from the nosological point of view. This work contains a study of the contributions made by digital rheography, arteriography and pulp biopsy. These methods allow us on the one hand to define the concept of Raynaud's diathesis, an essential element necessary to the appearance of vasomotor crises, and on the other hand to identify the possible triggering causes on which depend certain cases of Raynaud's phenomenon of idiopathic appearance, sometimes clinically latent. The general conception of Raynaud's Phenomenon, defined from the semeiological point of view and corresponding to a pathology and a diathesis common to the various conditions in which it may appear, is confirmed by the data provided by these investigations. The diagnostic approach in Raynaud's phenomenon has thus a double perspective: --to identify and define the Raynaud's diathesis, --to seek the possible causes which may be clinically latent.
目前的血管检查从疾病分类学角度有助于更好地理解雷诺现象并对其进行定位。这项工作包含了对数字血流图、动脉造影和指腹活检所做贡献的研究。这些方法一方面使我们能够定义雷诺素质的概念,这是血管运动危象出现所必需的基本要素,另一方面使我们能够识别某些特发性雷诺现象病例(有时临床上隐匿)所依赖的可能触发因素。从症状学角度定义的、对应于其可能出现的各种情况所共有的一种病理和素质的雷诺现象的总体概念,得到了这些检查所提供数据的证实。因此,雷诺现象的诊断方法有两个视角:——识别和定义雷诺素质,——寻找可能临床上隐匿的病因。