Botulinum toxin in the management of primary and secondary Raynaud's phenomenon.

Best practice & research. Clinical rheumatology 2021 Vol.35(3) p. 101684

Ennis D, Ahmad Z, Anderson MA, Johnson SR

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Abstract

Raynaud's phenomenon (RP) is common in rheumatic diseases. In the setting of systemic sclerosis (SSc), it can be complicated by digital ischemia that includes ulceration and gangrene. Systemic adverse effects may preclude the use of oral or topical vasodilators for the treatment of RP and its complications. In this article, we review effectiveness/efficacy of botulinum toxin injection in primary and secondary RP. We discuss botulinum toxin formulations, dosage, sites of administration, and adverse effects. The evidence for botulinum toxin in the treatment of primary and SSc-associated RP is promising. Consistency across patient populations, treatment options (botulinum serotype, dose, and injection site), and outcome measures will be essential for further research.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 4

MeSH Terms

Botulinum Toxins; Humans; Raynaud Disease; Rheumatic Diseases; Scleroderma, Systemic; Skin Ulcer

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