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.
Similar content being viewed by others
References
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
Coffman JD, Tudor Davies W (1975) Vasospastic diseases: a review. Cardiovasc Dis 18:123–146
Dowd PM, Martin MFR, Cooke ED (1982) Treatment of Raynaud's phenomenon by intravenous infusion of prostacyclin (PGI2). Br J Dermat 106:81–89
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
Editorial (1980) Pathophysiology of Raynaud's phenomenon. Br Med J 281:1027–1028
Greaves MW (1982) Prostaglandine, Leukotriene, anti-inflammatoire Substanzen und deren Bedeutung bei entzündlichen Reaktionen der Haut. Hautarzt 33:123–129
Halpern A, Kuhn PH, Shaftel HE (1960) Raynaud's disease. Raynaud's phenomenon and serotonin. Angiology 11: 151–167
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
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
Kontos HA, Wasserman AJ (1969) Effect of reserpine in Raynaud's phenomenon. Circulation 39:259–266
Le Roy EC (1982) Pathogenesis of seleroderma (systemic sclerosis). J Invest Dermatol 79 [Suppl 1]:87s-89s
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
Moulds, RFW, Iwanov V, Medcalf RL (1984) The effects of platelet derived contractile, agents on human digital arteries. Clin Sci 66:443–451
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
Nueten JM van, Leysen JE, Clerk F de (1984) Serotonergic receptor subtypes and vascular reactivity. J Cardiovasc Pharmacol 6 [Suppl 4]:s564-s574
Peacock JH (1959) Peripheral venous blood concentration of epinephrine and norepinephrine in primary Raynaud's disease. Circ Res 7:821–827
Peroutka SJ (1984) Vascular serotonin receptors, correlation with 5-HT1 and 5-HT2 binding sites (commentary). Biochem Pharmacol 33:2349–2353
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
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
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
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
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00404349