Medical history (history of illness) represents an important component in the diagnosis of Raynaud’s syndrome.
Family history
- Are there any conditions in your family that are common?
Social history
- What is your profession?
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- What symptoms have you noticed?
- How long have these changes been present?
- Which fingers/toes are affected? Both hands / feet?
- Describe the progression of symptoms? Do the fingers/toes first turn white, then blue, then red?
- Do these changes hurt?
- Did you notice a triggering moment? Cold, emotional arousal?
Vegetative anamnesis incl. nutritional anamnesis.
- Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol more often? If yes, what drink(s) and how many glasses of it per day?
- Do you use drugs? If yes, which drugs (amphetamines, cocaine) and how often per day or per week?
Self history incl. drug history.
- Pre-existing conditions (blood disorders, cardiovascular disease, collagenoses).
- Operations
- Radiotherapy
- Allergies
- Environmental pollution (heavy metals)
Medication history
- Decongestant nasal drops (active ingredients: direct or indirect sympathomimetics).
- Ergotamine – active ingredient that leads to vasoconstriction (vasoconstriction).
- Beta-blockers – active substances used in arterial hypertension (high blood pressure).
- Cytostatics (drugs used to treat cancer).
- Bleomycin
- Cisplatin
