Primary Raynaud's phenomenon in premature infant: a case report

Q4 Medicine

中华围产医学杂志 Pub Date : 2019-09-16 DOI:10.3760/CMA.J.ISSN.1007-9408.2019.09.009

Wei Zhu, Yunfeng Liu, Mei-hua Piao, Jing Wang, Li-jun Wang

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引用次数: 0

Abstract

This is a case report of preterm female neonate with Raynaud's phenomenon, who was born at 30+3 weeks of gestation. Her right upper limb completely turned pale from wrist to fingers with undetermined cause five days after birth, with weakened radial artery pulsation and lower skin temperature than the other side. After several treatment steps including right upper limb massage, keeping warm, intravenous infusion of Alprostadil and application of tropical mucopolysaccharide polysulfate cream, the affected limb gradually turned to purple and then ruddy. No abnormality was detected in the examinations for secondary Raynaud's phenomenon, therefore a primary Raynaud's phenomenon was considered. No similar symptoms recurred during hospitalization or follow-ups. Though rare, Raynaud's phenomenon should be considered if patients' hands suddenly turn to pale and then purple. The main treatments involve removing the causative factors, keeping warm and massage of the affected limb. Medications can be used to improve peripheral circulation if necessary. Long-term follow-up is needed for neonates suffered from Raynaud's phenomenon. Key words: Raynaud's phenomenon; Infant, premature; Treatment

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早产儿原发性雷诺现象1例

这是一例妊娠30+3周出生的具有雷诺现象的早产女婴的病例报告。她的右上肢在出生五天后从手腕到手指完全变白，原因不明，桡动脉搏动减弱，皮肤温度低于另一侧。经过右上肢按摩、保暖、静脉输注前列地尔和涂抹热带粘多糖多硫酸膏等多个治疗步骤，患肢逐渐变紫，然后变红。继发性雷诺现象的检查未发现异常，因此认为是原发性雷诺现象。在住院或随访期间没有类似症状复发。虽然罕见，但如果患者的手突然变白，然后变紫，则应考虑雷诺现象。主要治疗方法包括消除病因、保暖和按摩患肢。必要时可使用药物改善外周循环。患有雷诺现象的新生儿需要长期随访。关键词：雷诺现象；婴儿，早产；治疗

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来源期刊

中华围产医学杂志 Medicine-Obstetrics and Gynecology

CiteScore

0.70

自引率

0.00%

发文量

4446

期刊介绍： Chinese Journal of Perinatal Medicine was founded in May 1998. It is one of the journals of the Chinese Medical Association, which is supervised by the China Association for Science and Technology, sponsored by the Chinese Medical Association, and hosted by Peking University First Hospital. Perinatal medicine is a new discipline jointly studied by obstetrics and neonatology. The purpose of this journal is to "prenatal and postnatal care, improve the quality of the newborn population, and ensure the safety and health of mothers and infants". It reflects the new theories, new technologies, and new progress in perinatal medicine in related disciplines such as basic, clinical and preventive medicine, genetics, and sociology. It aims to provide a window and platform for academic exchanges, information transmission, and understanding of the development trends of domestic and foreign perinatal medicine for the majority of perinatal medicine workers in my country.