Vincent Falanga

Are You Confident of the Diagnosis? What you should be alert for in the history Patients may give a history of Raynaud’s phenomenon, arthralgia, myalgia, or signs of palpable purpura in the context of a connective tissue disease, lymphoproliferative disorders or infectious diseases. Thirty to fifty percent of cases occur without any systemic underlying condition…

Are You Confident of the Diagnosis? What you should be alert for in the history Patients may give a history of a painful, necrotic ulcer(s) located on the extremities, acral surfaces and ears, which appear after cold exposure and are refractory to care with standard therapy. Also, there may be a history of cold urticaria,…