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Raynaud Non-Pharmacological — SCE Rheumatology MCQ

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HardSystemic SclerosisRaynaud Non-PharmacologicalSCE Rheumatology

A woman with systemic sclerosis asks how to reduce Raynaud attacks. Which non-pharmacological advice is most appropriate?

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Correct answer: E — Keep warm, avoid abrupt cold exposure and stop smoking

The best answer is “Keep warm, avoid abrupt cold exposure and stop smoking”. Raynaud management includes maintaining core and peripheral warmth, avoiding cold and abrupt temperature changes, smoking cessation and review of vasoconstrictive medicines. Hand warming alone is incomplete, caffeine may aggravate symptoms, decongestants can worsen vasoconstriction, and cold immersion can provoke attacks.

Reference: BSR systemic sclerosis guideline: https://pmc.ncbi.nlm.nih.gov/articles/PMC11534099/