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Raynaud's phenomenon - Management
When should I suspect secondary Raynaud's phenomenon?
- Suspect secondary Raynaud's phenomenon if any of the following are present:
- Onset at more than 30 years of age.
- Episodes that are intense, painful, or asymmetrical.
- Clinical features suggestive of an underlying disease.
- Positive anti-nuclear antibody tests.
- Abnormal nail-fold capillaries (although this may be difficult to determine — see Differentiating between primary and secondary).
- Digital ulcers, infection, gangrene, or severe ischaemia of one or more digits.
- If secondary Raynaud's phenomenon is suspected, refer to secondary care (usually a rheumatologist).
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