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Archives a Century Ago |

Case of Raynaud’s Disease.

Arch Dermatol. 2008;144(6):722. doi:10.1001/archderm.144.6.722.
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Presented by r. Klotz.

Miss J. M., 23 years of age, born in New York. Nurse in training. Had the usual diseases of childhood—measles and scarlet fever—without any complications. Has been in good general health, but somewhat nervous. Remembers that as a child her hands would become cold on very slight exposure. This condition has become somewhat aggravated. After being exposed to cold, her hands become perfectly cold and white as far as the wrist, the nails bluish, and sensitiveness is impaired. After becoming warm again the hands become intensely red and remain of a dark color to a certain extent throughout. The feet are similarly affected, but less intensely. In summer all these conditions are much less pronounced; they are produced only by the difference in temperature, but not by any other cause. The hands are only slightly painful, except when placed in warm water while cold. The condition of the hands was noticed incidentally, the patient really only complaining because she is liable to get deep red blotches in the face on the slightest excitement or exertion which cause but little sensation. Besides, she shows a very pronounced dermographism. It is proposed to subject the hands to a prolonged treatment with Bier's “Stauungs” hyperæmia, with which Arning of Hamburg and several others have obtained good results in similar conditions.


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