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Pulmonary Hypertension. Raynaud's Disease. Telangiettasias. Presented by Dr. Helen O. Curth.
A woman, 46 years of age, has had Raynaud's disease and pulmonary hypertension for many years. About 15 years ago she underwent bilateral lumbar sympathectomy and suffered the complication of thrombophlebitis in both lower extremities. One year later, the terminal phalanges of the fourth and fifth toes of the right foot had to be amputated. Last year, the veins of the right leg were stripped.In cold weather, the fingers of both hands become bluish and then white. On the forehead, cheeks, nose, arms, dorsa of fingers, and palms there are telangiectasias. Both legs show varicose veins.Laboratory studies are negative for abnormalities of the serum proteins. The lupus erythematosus test is negative (Fig 1).
Dr. A. I. Schaffer: The pulmonary hypertension in this patient was clinically evident from visible pulsation of the jugular veins, heaving of the precordial
DERMATOLOGIC SOCIETY OF GREATER NEW YORK: (formerly the Bronx Dermatological Society). Arch Dermatol. 1965;92(2):208–212. doi:10.1001/archderm.1965.01600140096029
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