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Rheumatology • Continue the Conversation
What are some practical tips for eliciting an accurate history of Raynaud's phenomenon in patients being assessed for CTD?
This question is part of our collaboration with ACR Convergence 2025 to Continue the Conversation from the meeting. This question was inspired by the session "Challenges & Solutions for Management of Raynaud’s Phenomenon" by Dr. @Tracy M. Frech and Dr. @John Pauling. If you did not attend the meeting, information about Convergence On Demand can be found here.
Answer from: at Academic Institution
I use this approach. I first ask patients if they feel generally sensitive to the cold. All patients with Raynaud's should respond yes to this, but this is not specific, as there are many cold-sensitive patients who don't have Raynaud's. I will then ask if their fingers turn any colors in response t...
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Answer from: at Academic Institution
The primary goal is to assess whether the patient’s Raynaud’s phenomenon (RP) may represent an early manifestation of a connective tissue disease (CTD). The first step is confirming that the patient truly has RP. I rely on three fundamental screening questions:
Do your hands or digits...