Abstract |
The Authors report their experience concerning 256 cases of Raynaud's Disease and Syndrome observed from 1968 to 1987; 23 patients underwent surgery for the treatment of dystrophic or gangrenous lesions of the extremities (12 cervico-thoracic and 8 lumbar sympathectomies, 1 popliteal aneurysmectomy, 2 scalenotomies): a significant improvement of the clinical picture was observed in 91.30% of the patients who underwent the operation. The pharmacologic treatment obtained satisfactory results in 51.26% of all the patients. The Authors propose a three stage classification of raynaudian symptoms: I stage: sporadic vasoconstrictive crises; II stage: recurrent vasoconstrictive crises not invalidating working activity and "restitutio ad integrum" between attacks; III stage: recurrent and frequent crises invalidating working activity with asphyxia and/or ulcer- gangrene of the extremities. Both pharmacological and surgical treatment obtained the improvement of the clinical condition to an inferior stage in a high rate of patients. In three patients only (two of whom underwent scalenotomy and one popliteal aneurysmectomy) the complete and definitive cessation of raynaudian crises was observed.
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Authors | R Giacchi, A Fattori, F Lungarotti |
Journal | Il Giornale di chirurgia
(G Chir)
1989 Jan-Feb
Vol. 10
Issue 1-2
Pg. 25-8
ISSN: 0391-9005 [Print] Italy |
Vernacular Title | Malattia e sindrome di Raynaud. Presentazione di un'esperienza clinica. |
PMID | 2518524
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adult
- Female
- Follow-Up Studies
- Humans
- Male
- Raynaud Disease
(classification, therapy)
- Syndrome
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