RACAND syndrome

Authors

  • Ana Campastri Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina
  • Cindy Frare Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina
  • Candela Preti Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina
  • Gabriela Bendjuia Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina
  • Ana Clara Acosta Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina

Keywords:

RACAND syndrome, Raynaud phenomenon, anticentromere antibody, digital necrosis, systemic sclerosis

Abstract

RACAND syndrome, an acronym for Raynaud’s phenomenon, anti-centromere antibody and digital necrosis, is a poorly known entity. We present a patient with RF-associated digital necrosis that progressed despite treatment with vasodilators. She also performed hyperbaric oxygen therapy and prostaglandin E1. She added sclerosis so she received methotrexate and bosentan. We show its complete evolution.
This syndrome must be taken into account as a differential diagnosis in acute digital necrosis, with a multidisciplinary diagnostic and therapeutic approach, which requires aggressive treatment from the beginning and subsequent follow-up due to possible transformation to systemic sclerosis.

Author Biographies

Ana Campastri, Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina

Dermatology Resident Physician

Cindy Frare, Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina

Medical specialist in Dermatology. Former Chief Resident

Candela Preti, Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina

Medical specialist in Dermatology

Gabriela Bendjuia, Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina

Plant doctor. Dermatology Division. Specialist in Medical Clinic and Dermatology. Head of the Collagen Diseases Sector

Ana Clara Acosta, Acute General Hospital Dr. José María Ramos Mejía, Autonomous City of Buenos Aires, Argentina

Plant doctor. Dermatology Division. Specialist in Dermatology. In charge of the Oncology Sector.

References

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Published

2019-12-02