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    veronaep posted:
    I have just had a name put to my symptoms that I have had for some time now. I have raynauds, ok, I can deal with that but now my middle finger on my left hand that I had the most problem with has swollen, gotten dark and the tip of my finger is very hard and has an ulcer (I think that is what the doctor said it is) on it. The doctor that I went to said there is nothing that can be done for that. PLEASE HELP. The job that I have (counting money) makes it difficult and painful (other than the normal pain that I am going through) for me to use my hand successfully.Again, PLEASE HELP ME with some information other than nothing can be done. I am so sure that there is something that can be done.
    Waiting patiently for information and THANK YOU.
    Byroney_WebMD_Staff responded:
    Dear veronaep,

    Hello and welcome! I am sorry to hear of your problems. I had a friend who had a finger ulcer and saw a hand specialist to deal with it. Perhaps that would be an option for you? I would definitely encourage you to get a second opinion since you're concerned.

    Hopefully some of our other members can share their experiences with you.

    Hope you'll keep us updated,

    Even if you're on the right track, you'll get run over if you just sit there. ~Will Rogers
    Scott Zashin, MD responded:
    Raynauds can be seen with lupus and scleroderma, two types of connective tissue disease but not in rheumatoid arthritis. It is often brought on by cold, so using gloves and wearing long sleeves and pants can help prevent. Medication is also available to increase blood flow. Ulcers can be from raynauds or can be from vasculitis which can be seen in rheumatoid arthritis. Smoking can affect blood flow so it is strongly recommended that if you do smoke, stop. Also consider an evaluation with a rheumatologist and hand or vascular doctor with expertise in this area.Dr. Wigley at Johns Hopkins Medical School is a rheumatologist and an expert in raynauds.
    AZlupusguy replied to Scott Zashin, MD's response:
    I suffer with both Lupus and Raynauds. I moved to AZ for the warmer winters from Ohio. I just returned home from the hospital where they filleted my right index finger because of "Sausage Digit". Now that I have my hand all wrapped up for the next 7 days I learn that this is a result of the disease and possibly the intestinal infection? diarrhea. Is this common for the ER to go to this drastic of a measure and cut it open when they diagnosed it as an inflammatory response?

    In response I have been treated with Rituxin, Enbrel, Methotrexate, Plaquenil Prednisone and blood conditioners for better blood flow. I also lost the tip of my left middle finger that turned black and sent me to the oxygen chamber everyday for a month to aid the healing.

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