Dear NIkki,
I can't find the picture of Raynaud;s of the nipple. The article (Full text PDF: http://www.paopractinet.nl/system/files/raynaud.pdf) is a descriptive discussion of primairy and secundairy Raynaud's Phenomena, diagnostics and treatment.
Key points of the introduction:
• Het primair fenomeen van Raynaud (RF) is een relatief frequent voorkomende aandoening met meestal weinig ernstige klachten of complicaties.
* The primairy Raynaud's Phenomena (RP) is a relatively common condition with normally not very serious complaints or complications
• Het onderscheid tussen primair en secundair RF is van belang wat betreft complicaties en voor prognose en behandeling. Secundair RF treedt vooral op in het kader van een bindweefselsysteemziekte.
* The distinction between priamairy and secundairy RP is imporetant with regards to complications and for prognosis and treatment. Secundairy RP is presominantly seen within the context of a disease of the connective tissue system
• Bij ongeveer 13% van de patiënten met aanvankelijk een ogenschijnlijk primair RF ontwikkelt zich binnen een aantal jaren toch een systeemziekte.
* In appr. 13% of patients wit a initially seemingly primairy RP a systemic disease will develop within some years
• Auto-immuunserologisch onderzoek, waaronder bepaling van antinucleaire antistoffen (ANA), en capillairmicroscopie zijn bij RF belangrijke diagnostische hulpmiddelen als men een systeemziekte of een zich ontwikkelende systeemziekte vermoedt.
*Auto-immune serum testing, inclusing antinucleair antigenes (ANA), and cappillairmicroscopy are important diagnostics tools in case of suspicion of (developping) systemic disease
• Calciumantagonisten vormen de hoeksteen van de farmacotherapeutische behandeling van RF.
* Calcium antagonists are the cornerstone of pharmceutical treatment of RP
FUll translation would take me a bit longer ;-)
Warmly,
Gonneke
--- On Wed, 12/16/09, Nikki Lee <[log in to unmask]> wrote:
From: Nikki Lee <[log in to unmask]>
Subject: [LACTNET] question about article in Dutch
To: [log in to unmask]
Date: Wednesday, December 16, 2009, 2:42 PM
Dear Friends:
Would our dear colleagues from the Netherlands please find out more about
this article and let us all know?
Ned Tijdschr Geneeskd. <javascript:AL_get(this, 'jour', 'Ned Tijdschr
Geneeskd.');> 2009;153:B343.
[Diagnostic image. A breastfeeding woman with a painful, blue nipple]
Velstra B<https://mail.google.com/pubmed?term=%22Velstra%20B%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract>,
Bijlsma TS<https://mail.google.com/pubmed?term=%22Bijlsma%20TS%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract>
.
Spaarne Ziekenhuis, afd. Heelkunde, Hoofddorp, The Netherlands.
[log in to unmask]
A 32-year-old breastfeeding woman presented with a painful, blue nipple due
to Raynaud's syndrome.
warmly,
Nikki Lee BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com
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