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Old 02-17-2014, 08:09   #15
PedOncoDoc
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Quote:
Originally Posted by Trapper John View Post
I agree with you Doc, severely dry, cracked skin on the fingers is not a classic textbook presenting sign of Raynaud's. My thinking was that impaired micro-circulation over time could lead to this symptom. I seem to recall a discussion a few years back with a Doc that had Raynaud' and she said that in the winter the skin on her fingers was always chapped and that would become dry and cracked to the point of bleeding. Given Brush Okie's history and CC, I thought that Raynaud's should be ruled out.

Side note: The Doc I mentioned was on the Advisory Board of a local VC company that I had presented to. She was keenly interested if we were working on a drug for Raynaud's. We weren't and that was the end of that story.
Highly unlikely without a history of color change, IMHO.

Poor blood flow to the hands is certainly a good thought and a first-pass check can be done with the Allen's Test (a quick google search describes this, and clear directions can be found on Wikipedia along with a couple diagrams) - although, if normal, it doesn't completely rule out distal ischemia (poor blood flow to the finger tips).
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