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Successful treatment of Raynaud's syndrome in a lupus patient with continuous bilateral popliteal sciatic nerve blocks: a case report

Authors Dao T, Amaro-Drieger D, Mehta J

Received 25 September 2015

Accepted for publication 5 March 2016

Published 15 June 2016 Volume 2016:9 Pages 35—37


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Stefan Wirz

Thuan Dao,1 David Amaro-Driedger,2 Jaideep Mehta,1

1Department of Anesthesiology, 2McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA

Abstract: Raynaud’s syndrome has been treated medically and invasively, sometimes with regional anesthesia leading up to sympathectomy. We demonstrate that regional anesthesia was in this case a useful technique that can allow some patients to find temporary but significant relief from symptoms of Raynaud's syndrome exacerbation. We present a 43-year-old woman with Raynaud’s syndrome secondary to lupus who was treated with bilateral popliteal nerve block catheters for ischemic pain and necrosis of her feet; this led to almost immediate resolution of her pain and return of color and function of her feet. While medical management should continue to be a front-line treatment for Raynaud’s syndrome, regional anesthesia can be useful in providing rapid dissipation of symptoms and may thus serve as a viable option for short-term management of this syndrome.

Keywords: Peripheral nerve block, lupus, ischemic pain, regional anesthesia

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