Exposure to Cold

36 year female presented with complaints of fingers turning white esp in winters after shower, exposure to cold water She even adds to have this in summers while sleeping in AC She has experienced this more on exposure to cold water Kindly give your suggestions and possible differentials for this case? Investigations CBC is normal

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It is case of Raynaud ' phenomenon usualy characterised by series of colour changes from white then blue the red or pink. Initially due to less vascular sullply due vasospasm then blue due to less oxygen supply then turning red due to return of blood supply. The mechanism not known assumed to be due toabnormal nerve reflex supplying the wall diameter causing constriction thus less oxygen supply if this continue leading to less oxygen to blue colour and when blood supply starts turning to red. D/D Chilbains Raynaud' s diease Atherosclerosis Peripheral vascular disease.

Thanks Dr Hilal Ahmad Bhat
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Chilblains D/d Reynolds's phenomenon Avoid exposure to cold Keep warm in woollen hand gloves Study peripheral circulation

Thanx dr Pushkar ji Bhomia
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NICE ILLUSTRATION MY COMMENTS EXPOSURE TO COLD IS GOING TO.TRIGER AN ATTACK OF B ASTHAMA IN ASTHAMATIC PATIENTS CAN TRIGER C COLD AND SINUSITIS VERY COLD MAY CAUSE CHIL.BLANES TRIGER VIRAL INFECTIOS

? VASCULOPATHY.. ? RAYNAUD'S PHENOMENON.. ? CHILBLAINS..

Tnx Dr Shivraj Agarwal sir
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Raynaud disease Do arterial color doppler Ct angiogram Opinion of vascular surgeon

? Raynaud's phenomenon (White fingers or Wax fingers)

Yes most definitely it is a case of Raynaud Syndrome. And the treatment includes.... Calcium channel blockers are the class of drugs most widely used for treatment of Raynaud syndrome—especially the dihydropyridines (eg, nifedipine, nicardipine), which are the most potent vasodilators. Nifedipine is the customary first choice.

Cold stress injury

Tnx Dr Shivraj Agarwal Sb
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Chillburn or fros bite Raynauds diease

Raynaud's phenomenon

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