Bill Johnson, Port Townsend, WA
It is my understanding that, while rare, Raynaud's can affect children. In any case, an autoimmune process should be considered. If anyone knows any rheumatologists, particularly a pediatric rheumatologist, I think that would be who to ask. Have the color changes, red, white and blue been observed? That might be significant.
From: UVM Flownet on behalf of Jodi Zannino
Sent: Wed 1/20/2010 10:38 AM
To: [log in to unmask]
Subject: 5 yrs old with Raynaud's
I had an interesting case this am. A 5yr old girl , yes 5, with symptoms of discolored upper and sever lower extremity digits. Now has sores on the 3rd toe, bilaterally R>L. She was recently treated for Lyme's. The patient also lives in an old farm house- wood flooring and does not wear socks or slippers in house. This is the northeast and as you all know....it's been a cold winter so far!
The order was for Raynaud's of the lower extremity as they are the most symptomatic and she was referred by a podiatrist. The Brachial pulses were normal with normal pressures bilaterally(and ankles too).
Normal bilateral TBI's. PPG waveforms in the bilateral lower extremity digits were either normal or vasospasm in appearance (R>L) throughout.
I'm thinking this is some kind of autoimmune disease causing this. Have any of you seen a patient so young with this presentation? What are your thoughts?
I welcome your input?
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