Abstract
Eight patients with Raynaud's syndrome were treated by weekly plasma exchange for four weeks using a Haemonetics Model 30 Blood Processor. The mean whole-blood viscosity at a shear rate of 0.77/s was significantly lower after treatment, and the mean index of red-cell deformability was significantly improved. In four patients studied serially the mean percentage fall in whole-blood viscosity after a single plasma exchange was 49% at 0.77/s but only 14% at 91/s. All patients noticed symptomatic improvement including healing of ischaemic digital ulcers. In six patients the number of digital arterial segments containing detectable blood flow was measured by directional Doppler; in all six the number increased. It is concluded that plasma exchange is an effective means of haemorrheological treatment and may be beneficial in patients with digital ischaemia.
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- Braasch D. Red cell elasticity and blood flow. Br J Haematol. 1973 Apr;24(4):405–407. doi: 10.1111/j.1365-2141.1973.tb01666.x. [DOI] [PubMed] [Google Scholar]
- Coffman J. D., Cohen A. S. Total and capillary fingertip blood flow in Raynaud's phenomenon. N Engl J Med. 1971 Jul 29;285(5):259–263. doi: 10.1056/NEJM197107292850505. [DOI] [PubMed] [Google Scholar]
- Dintenfass L. Hemorheological factors in Raynaud's phenomenon. Angiology. 1977 Jul;28(7):472–481. doi: 10.1177/000331977702800705. [DOI] [PubMed] [Google Scholar]
- Dormandy J. A. Influence of blood viscosity on blood flow and the effect of low molecular weight dextran. Br Med J. 1971 Dec 18;4(5789):716–719. doi: 10.1136/bmj.4.5789.716. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dormandy J. A. Medical and engineering problems of blood viscosity. Biomed Eng. 1974 Jul;9(7):284–passimass. [PubMed] [Google Scholar]
- Goyle K. B., Dormandy J. A. Abnormal blood viscosity in Raynaud's phenomenon. Lancet. 1976 Jun 19;1(7973):1317–1318. doi: 10.1016/s0140-6736(76)92651-9. [DOI] [PubMed] [Google Scholar]
- Lockwood C. M., Rees A. J., Pearson T. A., Evans D. J., Peters D. K., Wilson C. B. Immunosuppression and plasma-exchange in the treatment of Goodpasture's syndrome. Lancet. 1976 Apr 3;1(7962):711–715. doi: 10.1016/s0140-6736(76)93089-0. [DOI] [PubMed] [Google Scholar]
- McGrath M. A., Peek R., Penny R. Blood hyperviscosity with reduced skin blood flow in scleroderma. Ann Rheum Dis. 1977 Dec;36(6):569–574. doi: 10.1136/ard.36.6.569. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McGrath M. A., Peek R., Penny R. Raynaud's disease: reduced hand blood flows with normal blood viscosity. Aust N Z J Med. 1978 Apr;8(2):126–131. doi: 10.1111/j.1445-5994.1978.tb04497.x. [DOI] [PubMed] [Google Scholar]
- Thomas D. J., Marshall J., Russell R. W., Wetherley-Mein G., du Boulay G. H., Pearson T. C., Symon L., Zilkha E. Effect of haematocrit on cerebral blood-flow in man. Lancet. 1977 Nov 5;2(8045):941–943. doi: 10.1016/s0140-6736(77)90885-6. [DOI] [PubMed] [Google Scholar]