Raynaud's phenomenon, anticentromere antibodies, and digital necrosis without sclerodactyly: An entity independent of scleroderma?

Citation
Em. Sachsenberg-studer et al., Raynaud's phenomenon, anticentromere antibodies, and digital necrosis without sclerodactyly: An entity independent of scleroderma?, J AM ACAD D, 43(4), 2000, pp. 631-634
Citations number
19
Categorie Soggetti
Dermatology,"da verificare
Journal title
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
ISSN journal
01909622 → ACNP
Volume
43
Issue
4
Year of publication
2000
Pages
631 - 634
Database
ISI
SICI code
0190-9622(200010)43:4<631:RPAAAD>2.0.ZU;2-5
Abstract
We describe 4 women of 43, 73, 84, and 86 years with Raynaud's phenomenon, severe digital necrosis, and high serum levels of anticentromere antibodies without skin thickening or internal organ sclerosis. Investigations reveal ed no diabetes or arterial vascular disease leading to arterial obstruction . Histologic examination did not show any dermal sclerosis or calcinosis. T he intravenous infusions of prostaglandin reversed the ischemic lesions in 3 patients. These cases suggest that the triad Raynaud's phenomenon, antice ntromere antibodies and necrosis of digits without sclerodactyly and sclero sis of internal organ should be considered as an entity distinct from scler oderma with sclerosis. For this entity we propose the name RACAND syndrome.