Raynaud's phenomenon, digital ulcers and critical digital ischaemia

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Complications of SSc-vasculopathy • Background: Raynaud’s phenomenon Digital ulceration Critical digital ischaemia • Consensus best practice pathways for: Raynaud’s phenomenon Digital ulceration Critical digital ischaemia • The challenges
Management of Digital Ulceration 1. Establish diagnosis early 2. Treat any contributory cause e.g. infection, large vessel disease 3. Optimal wound care and analgesia 4. 5. 6. Optimise oral vasodilators or IV prostanoids Consider surgical debridement in patients with necrotic tissue or underlying calcinosis + + Antiplatelet and/or statin therapy Ineffective/recurrent ulceration 7. Repeat IV prostanoids or PDE5 inhibitor or ERA Ineffective 8. Consider digital sympathectomy
Page 1 and 2: Complications of scleroderma vascul
Page 3 and 4: Complications of SSc-vasculopathy
Page 5 and 6: Digital ulceration
Page 7 and 8: Critical digital ischaemia • A me
Page 9 and 10: 1. Management of Raynaud’s Phenom
Page 11: 1. Management of Raynaud’s Phenom
Page 15 and 16: Scenario - LcSSc with large vessel
Page 17: Clinical course post-popliteal angi

Raynaud's phenomenon, digital ulcers and critical digital ischaemia

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