| 
   
| • | primary (idiopathic) or associated with many conditions (as secondary Raynaud’s) |  
 | • | capillary nail fold changes help distinguish scleroderma from primary (idiopathic) Raynaud’s |  
 | • | >90% of scleroderma patients have it |  
 treatment: 
| • | avoid cold exposure, stress core body temp (not just hands) |  
 | • | Ca channel blockers when “complicated” (i.e. digital tip ulceration, interferes with daily activities) |  
  
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