Table 1.
Vascular (usually proximal large vessel disease, often unilateral symptoms) | Compressive (eg cervical rib) Obstructive: non-inflammatory (ie atherosclerosis); inflammatory vascular disease (eg thromboangiitis obliterans (Buerger's disease)) |
Occupational | Hand–arm-vibration syndrome (vibration white finger) |
Autoimmune conditions | Systemic sclerosis Systemic lupus erythematosus Sjogren's syndrome Mixed connective tissue disease/overlap syndromes Undifferentiated connective tissue disease Idiopathic inflammatory myopathies |
Drug-/chemical-related | Amphetamines Beta-blockers Bleomycin Cisplatin Clonidine Cyclosporine Interferons Methysergide Polyvinyl chloride |
Conditions associated with increased plasma viscosity and reduced digital perfusion | Cryoglobulinaemia Cryofibrinogenaemia Paraproteinaemia Malignancy (including as a paraneoplastic phenomenon) |
Other causes and associations | Carpal tunnel syndrome Frostbite Hypothyroidism |