Raynaud's phenomenon in older adults. Diagnostic considerations and management

Shari M. Ling, Fredrick Wigley

Research output: Contribution to journalArticle

Abstract

Raynaud's phenomenon (RP) is characterised by sensitivity to cold temperatures associated with either biphasic or uniphasic change in colour of the digits. Since few studies are available which include older adults, the prevalence of RP in the older adult population is estimated from surveys or studies of the general population. The causes of RP in older adults may differ significantly from those in young adults and, therefore, so would the evaluation of RP. Because of comorbities that accompany advancing age, the managment of RP in older adult patients must take into consideration toxicity and adverse reactions that may develop, especially in the frail individual. Although nonpharmacological therapy is preferable, slow-release calcium antagonists provide a relatively well tolerated and effective treatment for moderate to severe RP in older adult patients. Aggressive treatment including hospitalisation is appropriate for older adult patients during periods of critical digital ischaemia associated with RP.

Original languageEnglish (US)
Pages (from-to)183-195
Number of pages13
JournalDrugs & Aging
Volume15
Issue number3
DOIs
StatePublished - 1999

Fingerprint

Raynaud Disease
Population
Young Adult
Hospitalization
Therapeutics
Ischemia
Color
Calcium

ASJC Scopus subject areas

  • Pharmacology
  • Geriatrics and Gerontology

Cite this

Raynaud's phenomenon in older adults. Diagnostic considerations and management. / Ling, Shari M.; Wigley, Fredrick.

In: Drugs & Aging, Vol. 15, No. 3, 1999, p. 183-195.

Research output: Contribution to journalArticle

@article{c20b1aafe8f8486b859cd1d32e28465a,
title = "Raynaud's phenomenon in older adults. Diagnostic considerations and management",
abstract = "Raynaud's phenomenon (RP) is characterised by sensitivity to cold temperatures associated with either biphasic or uniphasic change in colour of the digits. Since few studies are available which include older adults, the prevalence of RP in the older adult population is estimated from surveys or studies of the general population. The causes of RP in older adults may differ significantly from those in young adults and, therefore, so would the evaluation of RP. Because of comorbities that accompany advancing age, the managment of RP in older adult patients must take into consideration toxicity and adverse reactions that may develop, especially in the frail individual. Although nonpharmacological therapy is preferable, slow-release calcium antagonists provide a relatively well tolerated and effective treatment for moderate to severe RP in older adult patients. Aggressive treatment including hospitalisation is appropriate for older adult patients during periods of critical digital ischaemia associated with RP.",
author = "Ling, {Shari M.} and Fredrick Wigley",
year = "1999",
doi = "10.2165/00002512-199915030-00002",
language = "English (US)",
volume = "15",
pages = "183--195",
journal = "Drugs and Aging",
issn = "1170-229X",
publisher = "Adis International Ltd",
number = "3",

}

TY - JOUR

T1 - Raynaud's phenomenon in older adults. Diagnostic considerations and management

AU - Ling, Shari M.

AU - Wigley, Fredrick

PY - 1999

Y1 - 1999

N2 - Raynaud's phenomenon (RP) is characterised by sensitivity to cold temperatures associated with either biphasic or uniphasic change in colour of the digits. Since few studies are available which include older adults, the prevalence of RP in the older adult population is estimated from surveys or studies of the general population. The causes of RP in older adults may differ significantly from those in young adults and, therefore, so would the evaluation of RP. Because of comorbities that accompany advancing age, the managment of RP in older adult patients must take into consideration toxicity and adverse reactions that may develop, especially in the frail individual. Although nonpharmacological therapy is preferable, slow-release calcium antagonists provide a relatively well tolerated and effective treatment for moderate to severe RP in older adult patients. Aggressive treatment including hospitalisation is appropriate for older adult patients during periods of critical digital ischaemia associated with RP.

AB - Raynaud's phenomenon (RP) is characterised by sensitivity to cold temperatures associated with either biphasic or uniphasic change in colour of the digits. Since few studies are available which include older adults, the prevalence of RP in the older adult population is estimated from surveys or studies of the general population. The causes of RP in older adults may differ significantly from those in young adults and, therefore, so would the evaluation of RP. Because of comorbities that accompany advancing age, the managment of RP in older adult patients must take into consideration toxicity and adverse reactions that may develop, especially in the frail individual. Although nonpharmacological therapy is preferable, slow-release calcium antagonists provide a relatively well tolerated and effective treatment for moderate to severe RP in older adult patients. Aggressive treatment including hospitalisation is appropriate for older adult patients during periods of critical digital ischaemia associated with RP.

UR - http://www.scopus.com/inward/record.url?scp=0032837160&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032837160&partnerID=8YFLogxK

U2 - 10.2165/00002512-199915030-00002

DO - 10.2165/00002512-199915030-00002

M3 - Article

C2 - 10503811

AN - SCOPUS:0032837160

VL - 15

SP - 183

EP - 195

JO - Drugs and Aging

JF - Drugs and Aging

SN - 1170-229X

IS - 3

ER -