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Hand and Foot Color Change: Diagnosis and Management

Dustin E. Fleck, Mark F. Hoeltzel, Pediatrics in Review Nov 2017, 38 (11) 511-519; DOI: 10.1542/pir.2016-0234

Education Gap

Primary care clinicians are challenged to evaluate an array of different hand and foot color changes in kids, as treatment may range from reassurance of a benign, self-limited condition to further diagnostic evaluation and treatment with vasodilator pharmacotherapy. The most common and well-known causes of these color changes are Raynaud phenomenon, acrocyanosis, and the more rare but serious erythromelalgia. Clinicians should be aware of the clinical presentation, symptoms, etiologic origins, diagnostic evaluation, treatment, and potential complications of Raynaud phenomenon, acrocyanosis, and erythromelalgia in children.

Objectives

After completing this article, readers should be able to:
  1. Identify the various causes of hand and foot color change in children and adolescents.
  2. Recognize the differences in signs and symptoms of acrocyanosis, erythromelalgia, and Raynaud phenomenon.
  3. Recognize complications associated with acrocyanosis, erythromelalgia, and Raynaud phenomenon.
  4. Describe current treatments for acrocyanosis, erythromelalgia, and Raynaud phenomenon.

Artigo disponível em: http://pedsinreview.aappublications.org/content/38/11/511