UMEM Educational Pearls


25 year-old female presents with the following. It seems to have occurred spontaneously and spontaneously resolves during her ED evaluation.



Answer: Raynaud phenomenon

  • Raynaud phenomenon is recurrent vasospasm of fingers or toes
  • Causes
    • Primary (e.g., external factors; such as cold temperature or stress)
    • Secondary to underlying illness, typically autoimmune disease (e.g., progressive systemic sclerosis or SLE)
  • Treatment
    • Avoid known triggers
    • Low-dose calcium channel blockers (e.g., nifedipine)
    • Topical nitroglycerine applied to areas of vasoconstriction
    • Identify and treat secondary disorders


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