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Discussion in 'Spot Diagnosis' started by bb100, Mar 9, 2013.

  1. bb100

    bb100 Bronze Member

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    what is the most likely diagnosis?

    33.jpg
     

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  2. neo_star

    neo_star Moderator

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  3. apparat

    apparat Well-Known Member

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    ^ Fantastic post above; thanks neo_star. Can you explain why ischaemic ulceration and auto-amputation is a feature of scleroderma? Cheers
     

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  4. neo_star

    neo_star Moderator

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    Yes, I will explain.

    Firstly we need to understand the difference between Raynaud's disease and Syndrome.

    Raynaud's disease aka primary raynaud's phenomenon is idiopathic i.e no identifiable cause to the vasospastic phenomenon

    Raynaud's syndrome alias "secondary raynaud's phenomenon" is just that - sec to something ex. arthrosclerosis, cervical rib etc. i.e there is an underlying reason for the ischemia.

    In the case of scleroderma ( an ex. of Raynaud's syndrome ) - there r 2 possibilities which r still being debated

    1) autoimmune damage to blood vessels ( inner lining of small arterioles ), followed by fibrosis

    2) periarteriolar fibrosis ( an extension of the same process happening in the dermis ), causing it to shut down.


    (Y)

    If u hav other views / insight...keep them without fear. This place is all about learning from each other
    (-:
     

    Last edited: Mar 10, 2013
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  5. Karel from Olomouc

    Karel from Olomouc Active member

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    Thanks all my friends for this interesting case and excellent explain :)
     

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  6. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Scleroderma disease.
     

  7. bb100

    bb100 Bronze Member

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    Correct Answer :Scleroderma
     

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