Info
🌱 來自: Raynaud phenomenon
Treatment of Raynaud phenomenon
(Curr Opin Rheumatol 2021;33:453; Clin Rheumatol 2019;38:3317)
- All:
- avoid cold, maintain warmth of digits & body;
- avoid cigarettes, sympathomimetics, caffeine, & trauma;
- abx for infected ulceration
- Mild-mod:
- long-acting CCB,
- topical nitrates,
- SSRI,
- ARB,
- α-blockers,
- ASA/clopidogrel
- Severe:
- PDE inhibitors,
- anti-ET-1 receptor (if ulcers esp. w/ PHT),
- digital sympathectomy
- Digit-threatening:
- IV prostaglandins,
- digital sympathectomy,
- ± anticoagulation