Raynaud's phenomenon, digital ulcers and critical digital ischaemia
Raynaud's phenomenon, digital ulcers and critical digital ischaemia
Raynaud's phenomenon, digital ulcers and critical digital ischaemia
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Key points + challenges<br />
• Primary RP can be very symptomatic, but does not<br />
progress to tissue injury<br />
• Not all <strong>digital</strong> <strong>ischaemia</strong> in patients with SSc is due to<br />
microangiopathy alone<br />
• Digital <strong>ulcers</strong> may be a medical emergency, <strong>critical</strong><br />
<strong>ischaemia</strong> always is<br />
• Optimal implementation of the recommendations<br />
requires:<br />
Rapid access clinics/’open door’ policy<br />
Availability of drug treatment<br />
Availability of MDT support<br />
• Many questions still unanswered