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RAYNAUD’S SYNDROME AND SCLERODERMA
These two conditions are related in that patients with scleroderma (also known as systemic sclerosis) often suffer from Raynaud’s syndrome (or Raynaud’s phenomenon).
Raynaud’s syndrome
In general, Raynaud’s syndrome affects the arteries in the fingers, and sometimes in the toes as well. No one knows exactly what causes it. The arteries contract in spasm, and as a result the fingers go pale and numb. Then they turn blue and red in turn. They feel painful, tingling, and burning.
In severe Raynaud’s syndrome (also commonly called Raynaud’s phenomenon), the hands and feet turn abnormally cold and there may also be symptoms of a disease affecting the circulation such as atherosclerosis, or the connective tissue such as scleroderma (systemic sclerosis) or lupus erythematosus.
This condition can have serious side-effects. These include inflammation of the arteries of the fingers and toes, which could lead to a blood clot. A lack of blood in the extremities can lead to gangrene, or ulceration of the finger tips.
Scleroderma
Scleroderma is a rare disease affecting the body’s connective tissue – the stuff that supports, separates and protects the organs of the body. The connective tissue progressively hardens and contracts. No one knows the cause, but it is thought to be an auto-immune disease, where the body attacks itself.
Strangely, it is three or four times more usual in women than in men. It most commonly strikes people in their thirties.
Scleroderma can affect any part of the body, including the skin, heart, kidney, lung or oesophagus. It can be localized, or it can spread slowly throughout the body.
Raynaud’s syndrome is sometimes the first sign of scleroderma, and the patient may complain of abnormally cold hands and perhaps feet. Later on, other symptoms appear. In time, the fingers begin to swell, look like sausages, and can be difficult to move. As the disease progresses, the skin becomes thickened and taut, and movement becomes difficult. Scleroderma is a very serious condition, which can be fatal.
At the moment, both Raynaud’s syndrome and scleroderma are incurable, and without any ideal treatment.
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