Successful treatment of Raynaud's syndrome in a lupus patient with continuous bilateral popliteal sciatic nerve blocks: a case report

Abstract

Thuan Dao,1 David Amaro-Driedger,2 Jaideep Mehta,1 1Department of Anesthesiology, 2McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA Abstract: Raynaud’s syndrome has been treated medically and invasively, sometimes with regional anesthesia leading up to sympathectomy. We demonstrate that regional anesthesia was in this case a useful technique that can allow some patients to find temporary but significant relief from symptoms of Raynaud's syndrome exacerbation. We present a 43-year-old woman with Raynaud’s syndrome secondary to lupus who was treated with bilateral popliteal nerve block catheters for ischemic pain and necrosis of her feet; this led to almost immediate resolution of her pain and return of color and function of her feet. While medical management should continue to be a front-line treatment for Raynaud’s syndrome, regional anesthesia can be useful in providing rapid dissipation of symptoms and may thus serve as a viable option for short-term management of this syndrome. Keywords: Peripheral nerve block, lupus, ischemic pain, regional anesthesia

Keywords

• Raynauds syndrome
• lupus
• peripheral nerve block