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Case Reports
. 2020 Apr 21:27:e00206.
doi: 10.1016/j.crwh.2020.e00206. eCollection 2020 Jul.

Arterial palmar arch occlusion in a woman with Raynaud's disease taking oral combined menopausal hormone therapy: A case report

Cristina Llaneza-Suarez  1 , Montserrat Eiriz-Eirin  1 , Placido Llaneza  2
Affiliations
Case Reports

Arterial palmar arch occlusion in a woman with Raynaud's disease taking oral combined menopausal hormone therapy: A case report

Cristina Llaneza-Suarez et al. Case Rep Womens Health. .

Abstract

Patients with surgical menopause often present to their primary care provider with menopausal symptoms. Here we present an unusual case of palmar arch artery occlusion in a 55-year-old woman with primary Raynaud's disease taking oral combined menopausal hormone therapy after surgical menopause for endometriosis. She was successfully treated with intravenous infusion of prostaglandin E1 and nitroglycerin patches over two weeks. Menopausal hormone therapy was stopped and her vasomotor symptoms did not recur.

Keywords: Arterial palmar arch occlusion; Cardiovascular risk; Finger vascular lesion; Menopausal hormone therapy; Raynaud's disease.

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Figures

Fig. 1
Fig. 1
Right-hand arteriography showing narrowing and tapering of radial, ulnar, interosseous arteries and digital vessels and occlusion of the palmar arch (arrow).
See this image and copyright information in PMC

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