Diagnosis and clinical relevance of microcirculation disorders in progressive scleroderma
Brenke, A.; Brenke, R.; Loreck, D.
Dermatologische Monatschrift 176(1): 27-33
1990
ISSN/ISBN: 0011-9083 PMID: 2311789 Document Number: 350108
Microcirculation in the hands of patients with progressive systemic sclerosis shows some peculiarities. For diagnostic purposes functional thermography and the acrale rewarming test may be used. Typical features of progressive systemic sclerosis are a general hypothermia of the hands and localized hypothermic areas and refractory hyperthermic areas. In the acrale rewarming test reactive vasodilatation after cold stimuli is often not inducible and the significantly retarded rewarming shows a marked local restrict dependence. The significance of these facts for a more intensive physical therapy is discussed.