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Case Reports
. 2024 Mar 5;17(3):e258215.
doi: 10.1136/bcr-2023-258215.

Raynaud's phenomenon associated with psoriatic arthritis

Mohd Jazman Che Rahim  1   2 , Jo Anne Lim  3   2 , Wan Syamimee Wan Ghazali  3   2
Affiliations
Case Reports

Raynaud's phenomenon associated with psoriatic arthritis

Mohd Jazman Che Rahim et al. BMJ Case Rep. .

Abstract

We report a case of Raynaud's phenomenon in a patient with psoriatic arthritis (PsA). A middle-aged right-handed housewife presented with complaints of severely painful hand discolouration for 1 week, which usually worsened with cold exposure. She was diagnosed with PsA 6 months earlier. Her PsA was well controlled with weekly methotrexate. Physical examination showed no features of scleroderma or skin necrosis of her right hand. Both radial pulses were strong and symmetrical. Her nailfolds were visibly normal. The extractable nuclear antigen panel and other blood investigations were negative for scleroderma and other possible causes of secondary Raynaud's phenomenon. Occupational or environmental factors were also excluded. Dermatoscope examination of the nailfolds revealed some areas of dilated capillary loops, areas of vascular sparing and proximal nail fold telangiectasia. The diagnosis of secondary Raynaud's phenomenon was made, and an oral calcium channel blocker was started. The patient had significant improvement in symptoms shortly afterwards.

Keywords: Dermatology; Rheumatology.

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Conflict of interest statement

Competing interests: None declared.

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