Abstract
Results Sixty six cases (71,2% female) met the inclusion criteria. Average age of RP onset was 12,5y with median duration of 3,6y. RP was associated to: erythema pernio (34,8%), inter-phalangeal joints pain (30.3%), hands edema (28,8%), acrocyanosis (18,2%), profuse sweating (12,1% ) and trophic changes of fingers pulp (10,6%.). Antinuclear antibodies (ANA) were titled in 64 patients (97%), being positive (>1/80) in ten (15.6%). Capillaroscopy was performed on 43 (65.2%): 32 (74,4%) minor changes (tortuosity and segmental enlargement), four (9,3%) significant changes (giant capillaries, hemorrhagic and avascular areas), seven (16,3%) normal. Of 43 patients with complete study, five (11,6%) had secondary RP: two with juvenile systemic sclerosis, two in characterization and a probable case of mixed connective tissue disease. Secondary RP occurred mostly in less that 12-yearsold child. ANA ≥ 1/320 and significant changes on capillaroscopy had a significant statistic relationship with secondary RP.
Highlights
Raynaud’s phenomenon (RP) is characterized by changes in the color of extremities: pallor, cyanosis and erythema
RP can occur in children and, as in adults, in most cases is primary
Retrospective analysis of clinical files of children and adolescents in which RP was the reason for consultation
Summary
Raynaud’s phenomenon (RP) is characterized by changes in the color of extremities: pallor, cyanosis and erythema. M Tavares1*, A Novo1, H Sousa1, I Silva2, I Almeida3, M Guedes1 From 18th Pediatric Rheumatology European Society (PReS) Congress Bruges, Belgium. Background Raynaud’s phenomenon (RP) is characterized by changes in the color of extremities: pallor, cyanosis and erythema. It’s prevalence in adults ranges between 320% but there are few studies in pediatric age.
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