title: Digital sympathectomy for refractory Raynaud's phenomenon in an adolescent.
abstract: We describe the case of an adolescent with severe Raynaud's phenomenon refractory to conventional medical management. Her course was complicated by fingertip ulceration and necrosis. The localized surgical technique of digital sympathectomy was successfully used in the management of her disease, and should be considered for intractable Raynaud's phenomenon.
authors.affiliation: Department of Plastic Surgery, University of Virginia Health Sciences Center, Charlottesville 22908.
authors.forename: D B
authors.initials: DB
authors.lastname: Drake
authors.forename: R W
authors.initials: RW
authors.lastname: Kesler
authors.forename: R F
authors.initials: RF
authors.lastname: Morgan
mesh_terms: D000293:Adolescent; D005260:Female; D005385:Fingers / Q000294:innervation* / Q000601:surgery; D006801:Humans; D008866:Microsurgery / Q000379:methods; D009336:Necrosis / Q000150:complications / Q000601:surgery; D010166:Palliative Care; D011928:Raynaud Disease / Q000150:complications / Q000601:surgery*; D012871:Skin Diseases / Q000150:complications / Q000601:surgery; D013564:Sympathetic Nervous System / Q000601:surgery*; D014456:Ulcer / Q000150:complications / Q000601:surgery