Arterial palmar arch occlusion in a woman with Raynaud's disease taking oral combined menopausal hormone therapy: A case report

Cristina Llaneza-Suarez; Montserrat Eiriz-Eirin; Placido Llaneza

doi:10.1016/j.crwh.2020.e00206

Arterial palmar arch occlusion in a woman with Raynaud's disease taking oral combined menopausal hormone therapy: A case report

Case Rep Womens Health. 2020 Apr 21:27:e00206. doi: 10.1016/j.crwh.2020.e00206. eCollection 2020 Jul.

Authors

Cristina Llaneza-Suarez¹, Montserrat Eiriz-Eirin¹, Placido Llaneza²

Affiliations

¹ Xove Centro de Salud, Hospital Da Costa Burela, Camino Real, 0, 27870 Xove, Lugo, Spain.
² Universidad de Oviedo, La Merced, 22, 2C, 33201 Oviedo, Gijón, Spain.

Abstract

Patients with surgical menopause often present to their primary care provider with menopausal symptoms. Here we present an unusual case of palmar arch artery occlusion in a 55-year-old woman with primary Raynaud's disease taking oral combined menopausal hormone therapy after surgical menopause for endometriosis. She was successfully treated with intravenous infusion of prostaglandin E1 and nitroglycerin patches over two weeks. Menopausal hormone therapy was stopped and her vasomotor symptoms did not recur.

Keywords: Arterial palmar arch occlusion; Cardiovascular risk; Finger vascular lesion; Menopausal hormone therapy; Raynaud's disease.

Publication types

Case Reports