Question
A 27 year old female complains of intermittent pain in her fingers. She describes episodes of numbness and burning of the fingers. She wears gloves whenever she leaves the house. What is the most probable diagnosis?
| A. |
Kawasaki disease
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| B. |
Buerger’s disease
|
| C. |
Embolism
|
| D. |
Raynaud’s phenomenon
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Show Answer
|
Correct Answer � D
Explanation
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|
Answer- D Raynaud’s phenomenon
Intermittent nature points towards some triggers and wearing of gloves during going out indicates cold weather. Also female sex makes the diagnosis of Raynaud’s phenomenon more likely.
Raynaud phenomenon is episodic digital ischemia-
a. On exposure of cold
b. Emotional stress
c. Use of vibrating tools (MC) called as vibrating hand
MC seen in Fingers > Toes
→ Characteristic sequence of blanching, dusky cyanosis and red engorgement + Pain
Reference- Bailey and Love, Short practice of surgery, 27th edition published in 2018, Pg 967
