Document Detail


Raynaud's syndrome, an enigma after 130 years.
MedLine Citation:
PMID:  8442529     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The recent literature concerning Raynaud's syndrome is reviewed. Raynaud's syndrome is as common as hypertension and diabetes. In spite of its generally benign character, it causes a lot of discomfort to individuals and sickness absenteeism to society, especially in the colder regions of the world. The etiology remains an enigma 130 years after its first description, perhaps even more so than ever before, the many new theories proposed in the literature. Clearly, in a condition where seventy different etiologic theories are advocated, the culprit lesion is obviously missing, or there is not a culprit lesion but an accumulation of conditions having nothing in common but a few symptoms. Moreover a Raynaud attack may result, not from a single event, but from a cascade of events, just as, for example, hemostasis does. Controversy about diagnosis exists all over. For example, how does one make a diagnosis? Patient history has been considered unreliable. A standardized cold test, though highly reproducible in the authors' hands, is far from common property. Raynaud's syndrome is a condition for which thirty-eight therapies have been advocated in the last three years, but the curative answer is still to come.
Authors:
T J Cleophas; M G Niemeyer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Angiology     Volume:  44     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-03-31     Completed Date:  1993-03-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  196-209     Citation Subset:  IM    
Affiliation:
Department of Medicine, Merwede Hospital Sliedrecht-Dordrecht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic
Humans
Raynaud Disease* / diagnosis,  etiology,  therapy

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