Advances in the treatment of Raynaud's phenomenon
- PMID: 20448801
- PMCID: PMC2860448
- DOI: 10.2147/vhrm.s4551
Advances in the treatment of Raynaud's phenomenon
Abstract
Raynaud's phenomenon is a common condition characterized by vasospasm of the digital arteries and resulting cyanosis and redness. It often does not require pharmacologic management, but in some cases symptoms are severe and pharmacologic management is necessary. Calcium channel blockers are often used first-line, but in some patients are ineffective. Patients with severe symptoms or intolerance to available therapies have prompted exploration of alternative therapies, including endothelin antagonists, phosphodiesterase-5 inhibitors, antioxidants, newer vasodilators, statins, and botulinum toxin. These newer therapies provide the focus for this review.
Keywords: Raynaud; bosentan; iloprost; phosphodiesterase-5 inhibitors.
References
-
- Wigley FM. Raynaud’s phenomenon. N Engl J Med. 2002;347:1001–1008. - PubMed
-
- Cooke JP, Marshall JM. Mechanisms of Raynaud’s disease. Vasc Med. 2005;10:293–307. - PubMed
-
- Bakst R, Merola JE, Franks AG, Jr, Sanchez M. Raynaud’s phenomenon: pathogenesis and management. J Am Acad Dermatol. 2008;59:633–653. - PubMed
-
- Rosenkranz S, Diet F, Karasch T, Weibrauch J, Wassermann K, Erdmann E. Sildenafil improved pulmonary hypertension and peripheral blood flow in a patient with scleroderma-associated lung fibrosis and the Raynaud phenomenon [letter] Ann Intern Med. 2003;139:871–872. - PubMed
-
- Fries R, Shariat K, von Wilmowsky H, Bohm M. Sildenafil in the treatment of Raynaud’s phenomenon resistant to vasodilatory therapy. Circulation. 2005;112:2980–2985. - PubMed
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