An Atypical Presentation of Raynaud's Disease

Abstract

Objective: A 57-year-old female with a 33-year history of constant hand discoloration and paronychia had undergone multiple evaluations with a failure to find a diagnosis. She continues to undergo an evolving treatment regimen and diagnostic workup in an effort to find a long-eluded diagnosis.

Clinical presentation: She began to develop superficial ulcerations over the proximal phalanx of her fingers, often pruritic and erythematous, with pain and edema.

Intervention: She has since been managed with nifedipine and sildenafil and intermittent stellate ganglion blocks.

Conclusion: Despite still lacking a formal diagnosis, her constellation of symptoms is most likely the result of an atypical presentation of Raynaud's disease.

Keywords: Chilblain’s disease; Fabry’s disease; Paronychia; Raynaud’s disease; Stellate ganglion.