Abstract
Introduction: Triphasic color change of the distal extremities in response to cold and emotional stress is known as Raynaud's phenomenon (RP). Fingers, toes, nose, and ears are the commonly affected organs. Secondary RP is usually associated with underlying connective tissue disorder. Case Report: An 11-year-old adolescent girl presented with bluish discoloration of digits and toes, which were more marked on cold exposure. She had a positive antinuclear antibody test. Her grandmother was a known case of rheumatoid arthritis. She was managed with nifedipine, counseling and avoidance of cold environment. Discussion: It is essential to search for any underlying causes especially connective tissue diseases in such cases. Effective education and clear explanation about the disease reduce the anxiety and improve the quality of life.
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