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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

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