Ischemic ulcers of the toes secondary to Raynaud’s phenomenon in a child successfully treated with botulinum toxin

2020 ◽  
Vol 37 (4) ◽  
pp. 681-683
Author(s):  
Lucía Quintana Castanedo ◽  
Marta Feito Rodríguez ◽  
Rocío Maseda Pedrero ◽  
Clara Chiloeches Fernández ◽  
Raúl Lucas Laguna
2018 ◽  
Vol 5 (4) ◽  
pp. 224-229 ◽  
Author(s):  
Susana Medina ◽  
◽  
Alba Gómez-Zubiaur ◽  
Nuria Valdeolivas-Casillas ◽  
Isabel Polo-Rodríguez ◽  
...  

2004 ◽  
Vol 34 (4) ◽  
pp. 312-313 ◽  
Author(s):  
T. Sycha ◽  
M. Graninger ◽  
E. Auff ◽  
P. Schnider

2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 1136.2-1137
Author(s):  
L. Ruiz Gutiérrez ◽  
A. Pérez Gόmez ◽  
N. Valdeolivas Casillas ◽  
A. Movasat ◽  
E. Cuende Quintana ◽  
...  

2021 ◽  
pp. 153857442110056
Author(s):  
Diego Herrera Vegas ◽  
Mario Alejandro Fabiani ◽  
Mauricio Gonzalez-Urquijo ◽  
Agustín Bignotti ◽  
Ignacio Seré ◽  
...  

The presence of severe Raynaud’s Phenomenon (RP), with permanent pain or digital necrosis is a rare condition. Cervical sympathectomy or distal sympathectomy or A botulinum toxin have demonstrated efficacy after medical treatment failure. We report the case of a 38-year-old female patient with an acute onset of severe RP in both hands secondary to systemic sclerosis. Medical treatment failed, so a novel approach by a combination of a modified distal sympathectomy and injection of A botulinum toxin on digital neuromuscular bundles was performed. Remission of the pain occurred immediately after the procedure and 45 days later she had complete healing of the digital wounds and recovered full mobilization of both hands. The patient remained asymptomatic 6 month after the procedure, and a Doppler ultrasound showed tri-phasic flows distal to the surgical site. This novel technique is described, and a brief review of the literature is performed.


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