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Cold-induced Raynaud's phenomenon ameliorated by intravenous administration of ketanserin: a double-blind cross-over study

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Summary

Fifteen patients suffering from Raynaud's phenomenon (RP) were exmined. They were placed in a “climate, chamber” (a small room in which the temperature and humidity could be varied). The temperature was gradually decreased, while the humidity was kept constant. After 60–90 min, distinct RP was induced and intravenous medication was administered. The whole trial was performed in a double-blind, crossover fashion. Every patient participated in two experiments performed 2 days apart. Either ketanserin or placebo was given during the first experiment. In the second experiment, the medication (or placebo) which had not been given was administered. The effects of ketanserin were highly significant: the bluish pallor changed into bright erythema and the skin temperature rose significantly. This was interpreted as a spasmolytic effect. Intravenously administered ketanserin has a place in the clinical treatment of acutely deteriorating RP of diverse etiologies.

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References

  1. Bounameaux HM, Hellemans R, Verhaeghe R (1984) Ketanserin (5-HT2-antagonist) in secondary Raynaud's phenomenon. Letter to the editors. J Cardiovasc Pharmacol 6:975–976

    PubMed  Google Scholar 

  2. Coffman JD, Tudor Davies W (1975) Vasospastic diseases: a review. Cardiovasc Dis 18:123–146

    Article  Google Scholar 

  3. Dowd PM, Martin MFR, Cooke ED (1982) Treatment of Raynaud's phenomenon by intravenous infusion of prostacyclin (PGI2). Br J Dermat 106:81–89

    Google Scholar 

  4. Downey JA, Frewin D (1973) The effect of cold on blood flow in the hands of patients with Raynaud's phenomenon. Clin Sci 44:279–289

    PubMed  Google Scholar 

  5. Editorial (1980) Pathophysiology of Raynaud's phenomenon. Br Med J 281:1027–1028

  6. Greaves MW (1982) Prostaglandine, Leukotriene, anti-inflammatoire Substanzen und deren Bedeutung bei entzündlichen Reaktionen der Haut. Hautarzt 33:123–129

    PubMed  Google Scholar 

  7. Halpern A, Kuhn PH, Shaftel HE (1960) Raynaud's disease. Raynaud's phenomenon and serotonin. Angiology 11: 151–167

    PubMed  Google Scholar 

  8. Hamberg M, Svensson J, Samuelsson B (1975) Thromboxanes: a new group of biological active compounds derived from prostaglandin endoperoxides. Proc Natl Acad Sci USA 72:2994–2998

    PubMed  Google Scholar 

  9. Jageneau AHM, Hörig Ch, Loots W, Symoens J (1980) Plethysmographic registration of volume changes in a hand vein. Effects of serotonin and a specific antagonist. Angiology 31:828–832

    PubMed  Google Scholar 

  10. Kontos HA, Wasserman AJ (1969) Effect of reserpine in Raynaud's phenomenon. Circulation 39:259–266

    PubMed  Google Scholar 

  11. Le Roy EC (1982) Pathogenesis of seleroderma (systemic sclerosis). J Invest Dermatol 79 [Suppl 1]:87s-89s

    Article  PubMed  Google Scholar 

  12. Lewis T (1929) Experiments relating to the peripheral mechanism involved in spasmodic arrest of thecirculation in the fingers. A variety of Raynaud's disease. Heart 15:7–101

    Google Scholar 

  13. Moulds, RFW, Iwanov V, Medcalf RL (1984) The effects of platelet derived contractile, agents on human digital arteries. Clin Sci 66:443–451

    PubMed  Google Scholar 

  14. Nueten JM van, Janssen PAJ, Beek J van (1981) Vascular effects of ketanserin (R 41 468), a novel antagonist of 5-HT2 serotonergic receptors. J Pharmacol Exp Ther 218:217–230

    PubMed  Google Scholar 

  15. Nueten JM van, Leysen JE, Clerk F de (1984) Serotonergic receptor subtypes and vascular reactivity. J Cardiovasc Pharmacol 6 [Suppl 4]:s564-s574

    PubMed  Google Scholar 

  16. Peacock JH (1959) Peripheral venous blood concentration of epinephrine and norepinephrine in primary Raynaud's disease. Circ Res 7:821–827

    PubMed  Google Scholar 

  17. Peroutka SJ (1984) Vascular serotonin receptors, correlation with 5-HT1 and 5-HT2 binding sites (commentary). Biochem Pharmacol 33:2349–2353

    Article  PubMed  Google Scholar 

  18. Seibold JR, Jageneau AHM (1984) Treatment of Raynaud's phenomenon with ketanserin, a selective antagonist of serotonin (5-HT2) receptor. Arthritis Rheum 27:139–146

    PubMed  Google Scholar 

  19. Stranden E, Roald OK, Krohg K (1982) Treatment of Raynaud's phenomenon with the 5-HT2 receptor antagonist ketanserin. Br Med J 285:1069–1071

    Google Scholar 

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de la Faille, H.B., van Weelden, H., Banga, J.D. et al. Cold-induced Raynaud's phenomenon ameliorated by intravenous administration of ketanserin: a double-blind cross-over study. Arch Dermatol Res 279, 3–7 (1986). https://doi.org/10.1007/BF00404349

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