Raynauds Disease & Phenomenon by: Romeo Rivera Jr. UEP-CN & MMC-CN Primary type (disease)
2ndary type (phgenomenon)
Stimuli cold
Autoimmune disorder (sclera, collagen disease, frost bite) Nicotine,caffeine & stress
Positive anti nucleated bodies Intrinsic vascular wall hyperactivity
Sympathetic stimulation Vasopastic
vasospasm
Obstructive type Reduced blood flow
Increase vasomotor tone Episodic constriction of arteries and arterioles Tissue hypoxia
Whitish discoloration of digits
Arteries dilate slightly
cyanosis
Numbness and tingling of the fingers
Complete stoppage of arterial spasm
hyperemia
Nutritional Impairment Arthritis
Chronic paronychia
sclerodactyly t Gangrene ( limited to the skin of the tips of digits) ulcerations
rubor