A 52-year-old man presents with sudden onset of profound cyanosis of the second and third digits of the right hand with gangrene of the tip of the second digit. The remaining digits and the other hand are not affected. Which of the following statements are true?
A. This is characteristic of vasospastic Raynaud’s syndrome.
B. Evaluation should include arteriography.
C. A coagulation abnormality may be the cause of this problem.
D. Thoracic sympathectomy is the first-line treatment.
Answer:B
A 52-year-old man presents with sudden onset of profound cyanosis of the second and third digits of the right hand with gangrene of the tip of the second digit. The remaining digits and the other hand are not affected. Which of the following statements are true?
A. This is characteristic of vasospastic Raynaud’s syndrome. B. Evaluation should include arteriography. C. A coagulation abnormality may be the cause of this problem. D. Thoracic sympathectomy is the first-line treatment.