-
- Omar Viswanath, Jacquelin Peck, and Jatinder S Gill.
- Valley Anesthesiology and Pain Consultants, Phoenix, Arizona, USA, viswanoy@gmail.com.
- Med Princ Pract. 2019 Jan 1; 28 (4): 394-396.
ObjectiveA 57-year-old female with a 33-year history of constant hand discoloration and paronychia had undergone multiple evaluations with a failure to find a diagnosis. She continues to undergo an evolving treatment regimen and diagnostic workup in an effort to find a long-eluded diagnosis.Clinical PresentationShe began to develop superficial ulcerations over the proximal phalanx of her fingers, often pruritic and erythematous, with pain and edema.InterventionShe has since been managed with nifedipine and sildenafil and intermittent stellate ganglion blocks.ConclusionDespite still lacking a formal diagnosis, her constellation of symptoms is most likely the result of an atypical presentation of Raynaud's disease.© 2019 The Author(s) Published by S. Karger AG, Basel.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..