Ischemic ulcers of the toes secondary to Raynaud's phenomenon in a child successfully treated with botulinum toxin

Pediatr Dermatol. 2020 Jul;37(4):681-683. doi: 10.1111/pde.14160. Epub 2020 Mar 24.

Abstract

Raynaud's phenomenon (RP) is an episodic vasospastic response to cold or emotional stress causing color changes and pain. These attacks can lead to digital ischemia, ulcers, and gangrene. Severe and refractory RP in children is a therapeutic challenge for clinicians because there are no standardized treatment protocols for these patients. We present a case of RP involving the toes of a child successfully treated with botulinum toxin A.

Keywords: Raynaud's phenomenon; botulinum toxin; digital ulcers; toes.

Publication types

  • Case Reports

MeSH terms

  • Botulinum Toxins, Type A*
  • Child
  • Humans
  • Pain
  • Raynaud Disease* / drug therapy
  • Raynaud Disease* / etiology
  • Toes
  • Ulcer

Substances

  • Botulinum Toxins, Type A