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
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.
Chilblains D/d Reynolds's phenomenon Avoid exposure to cold Keep warm in woollen hand gloves Study peripheral circulation
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
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.
Chillburn or fros bite Raynauds diease
Raynaud's phenomenon
Cases that would interest you
- Login to View the image
11,/f first time in this winter.diagnisus?needed test? treatment?
Dr. Vinod Shah2 Likes21 Answers - Login to View the image
12 years boy 27 kg C/o dry cough since 1.5 months loss of apetite RS wheez bl wbc 11100 esr 45 neutrophils 70% plz dx and rx
Dr. Aamir Shaikh3 Likes16 Answers - Login to View the image
46year female nail changes on and off since 1 year kindy opine
Dr. Basu Patil1 Like18 Answers - Login to View the image
What is this? 86y/o DM pt with this darkened area since 15days initially there was pain now no pain but sensation present pt is suffering frm dementia doesn't remember how it happened Dm under control with actrapid TDS , n Lantus at night .Help me DX n give proper advice fr further management
Dr. K. S. Gayathri Dinesh5 Likes19 Answers - Login to View the image
Female 45y, had some mild signs that might suggest COVID in the past 3 weeks (no fever, but mild rhinitis and cough). Since one week has these painful chilblains. Blood tests are on going. Do patients report of same pictures during the COVID pandemic? Please discuss the case.
Dr. Yogesh Varma6 Likes25 Answers
2 Likes