Dr John Pauling on Raynaud's
🔑Age of onset a major factor to differentiate primary vs secondary
Other etiologies to consider other than rheum conditions
#ACR22 #ReviewCourse
1* Raynaud's as a dx of exclusion (I know some people do not like this term), at least based on the criteria of LeRoy & Medsger (1992)
#ACR22 #ReviewCourse
🥶Studies about prevalence of RP & January temps
Studies showing a link between low BMI (in women) and RP
Perhaps I should be glad I don't have RP!
#ACR22
CV risk factors and 1* RP?
Considerations for 1* RP and possible underlying etiology
👉If low BMI: keep core body temp warm
👉If subclinical ATH/CV risk factors: smoking cessation if smokers
#ACR22 #Reviewcourse
2* Raynaud's - target mgmt
Iatrogenic here includes meds, like beta blockers
#ACR22 #Reviewcourse
How is the outcome measured in SSc Raynaud's trials?
a look into the symptom diary
#ACR22 #ReviewCourse
UK consensus guidelines for mgmt in SSc pubmed.ncbi.nlm.nih.gov/26116156/
Another expert opinion based algorithm: pubmed.ncbi.nlm.nih.gov/35382396/
#ACR22 #Reviewcourse
How does all of this translate into clinical practice?
#ACR22 #ReviewCourse
RACAND: Raynaud's with anticentromere Ab and necrosis of the digits
pubmed.ncbi.nlm.nih.gov/11004618/
#ACR22 #ReviewCourse
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