Raynaud's Disease. Presented by Dr. Sweitzer.
A woman, aged 29, complained of stinging pains in her fingers. The skin was somewhat thickened. When the hands are placed in cold water the skin becomes bleached and the fingers become cold and numb. The condition has been present for the past year. The toes were not involved.
Dr. Sweitzer: There is a possibility of beginning scleroderma or Raynaud's disease. The patient has some lesions that looked as though Raynaud's disease might be considered. Some of the lesions look as though they might become necrotic. The patient probably will develop scleroderma later. I saw her today for the first time.Dr. Michelson: I recently had occasion to investigate rather extensively the literature on scleroderma, and I found that some cases began as Raynaud's syndrome and later became definite sclerodermas. The roentgenograms might be of some benefit, for in scleroderma there is a
O'Leary P, Turnacliff DD. MINNESOTA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1926;13(4):577–586. doi:10.1001/archderm.1926.02370160114016
Artificial Intelligence Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.