Department of Paediatrics & Adolescent Medicine, Alice Ho Miu Ling Nethersole Hospital, 11 Chuen On Road, Tai Po, N.T., Hong Kong, China
VWY Au Yeung ( 歐陽慧恩 ) MBChB(CUHK), MRCPCH
KP Lee ( 李國彪 ) MBChB(CUHK), MRCP, FHKAM(Paed)
FT Yau ( 邱徽道) MBBS(HK), FHKAM(Paed), FRCPCH
Correspondence to: Dr VWY Au Yeung
Received December 11, 2003
Raynaud phenomenon is manifested as sudden vasoconstriction of distal phalanges with cyanosis and reactive hyperaemia. Ischaemic skin lesions are also noted in severe cases. We report a 17-year-old lady with systemic lupus erythematosus who presented with dry gangrene of digits owing to intense Raynaud attacks. Various management strategies are discussed.