Raynaud's disease

[stawberry]

Today a patient came in with a query.
He's been diagnosed Raynaud's phenomenon few years ago and he was told to keep warm. However, recently he developed a heat rash and it was suggested that keeping cold will relieve the heat rash. It's a tricky situation because he needs to keep warm but at the same time not too warm. There is no particular reference source that I can use for this syndrome. What would you advise the patient?
I wonder any of you would be able to help?

Thank you!

[sparkybw]

Where is the heat rash appearing? Raynaud's affects the extremities so he could keep those bits warm and let the air cool the rest! Socks and gloves only!

[stawberry]

It's on his fingers. It's bit tricky because the heat rash appears on his swelling fingers.

[bobbin]

Today a patient came in with a query.
He's been diagnosed Raynaud's phenomenon few years ago and he was told to keep warm. However, recently he developed a heat rash and it was suggested that keeping cold will relieve the heat rash.

I think the first thing to do would be to check the diagnosis. 'Heat rash' is the sort of thing that customers often self-diagnose. It could be something else eg. contact dermatitis.

Perhaps it would help to try gloves made from a different material, and to apply a small quantity of hydrocortisone cream once or twice a day for a few days.

If it turns out that he has to ditch the gloves, nifedipine m/r might help to relieve the symptoms of Raynaud's. It's only suitable for more severe cases though because in mild cases the adverse effects may be greater than the benefits.