Application of the infrared thermography method in diagnosis of Raynaud`s phenomenon

Authors

DOI:

https://doi.org/10.26641/2307-0404.2023.1.276014

Keywords:

Raynaud's phenomenon, thermography, temperature gradient, concomitant diseases, diabetes mellitus

Abstract

The development of modern diagnostic medicine, the important task of which is the use of non-invasive methods for detecting a disease without impact of radiation exposure, has led to the spread of the method of infrared thermography, which allows to quickly and informatively identify pathological conditions of a person within a single examination. The main complaints characteristic of Raynaud's phenomenon are associated with cold, hyperemia, edema, and a feeling of paresthesia in the limbs. A significant number of scientific works have been devoted to the study of the Raynaud's phenomenon, where basically, examples of manifestations of Raynaud's phenomenon are given in the form of a violation of the microcirculation of the distal parts of limbs. Comprehensive studies of the combination of Raynaud's phenomenon with concomitant diseases, according to the authors, are insufficiently covered. The application of sophisticated modern laboratory diagnostic methods to detect this disease is nonspecific and burdensome for the patient. Thermographic diagnostics within one examination reveals both the presence of signs of Raynaud's phenomenon and concomitant somatic diseases. This paper presents the results of many years’ thermographic research, demonstrating the variety of manifestations of the Raynaud's phenomenon. For the first time, it has been shown that patients with signs of Raynaud's phenomenon, as a rule, have concomitant somatic diseases, which should be the subject of research of specialists in different medical fields to determine the relationship of Raynaud's phenomenon with the identified diseases. The results of visualization of thermoasymmetries of the skin of various pathological conditions during a complex thermographic examination were obtained, which greatly simplify the diagnostic search and understanding the complexity and danger of Raynaud's phenomenon. Of particular importance are the results of work for the differential diagnosis of complications of diabetes mellitus – diabetic foot syndrome. The paper presents some results of thermographic examinations of patients with signs of Raynaud's phenomenon and identified pathological changes in the body.

References

Golovach IYu, Chipko TM, Korbut NN. [Raynaud’s phenomenon and digitalulcers in systemic scle-rosis:pathophysiology questionsand management at the present stage]. Ukrainian journal of rheumatology. 2017;4(70):15-23. Ukrainian. Available from: https://www.rheumatology.kiev.ua/wp/wp-content/uploads/2018/01/1063.pdf?upload=

Dunaevskyi VI, Kyslyi VP, Bogdan TV. [Medico-biological aspects of the manifestation of Raynaud`s phenomenon in children. In: Science and education: a collection of works of the XVI international scientific conference; 2022 Jan 4-11]. Hajdúszoboszló (Hungary); 2022. р. 143-8. Ukrainian. Available from: http://lib.khmnu.edu.ua/konfer_HNU/2022/Konf_22.pdf

Goundry B, Bell L, Langtree M, Moorthy A. Diagnosis and management of Raynaud`s phenomenon. BMJ. 2012;344:e289. doi: https://doi.org/10.1136/bmj.e289

Flavahan NA. A vascular mechanistic approach to understanding Raynaud phenomenon. Nat Rev Rheumatol. 2015;11:146-58. doi: https://doi.org/10.1038/nrrheum.2014.195

Linnemann B, Erbe M. Raynaud`s phenomenon-assessment and differential diagnoses. Vasa. 2015;44:166-77. doi: https://doi.org/10.1024/0301-1526/a000426

Marushko TV. [Raynaud’s syndrome in children]. Dytiachyi likar. 2018;1(58):27-34. Ukrainian. Available from: https://d-l.com.ua/ua/archive/2018/1%2858%29/pages-27-34/sindrom-reyno-u-ditey

Herrik AL. Management of Raynaud`s pheno-menon and digital ischemia. Curr Rheumatol Rep. 2013;15(1):303. doi: https://doi.org/10.1007/s11926-012-0303-1

Herrik AL. Recent advances in the pathogenesis and management of Raynaud`s phenomenon and digital ulcers. Curr Opin Rheumatol. 2016;28(6):577-85. doi: https://doi.org/10.1136/bmj.e289

Gulchiy MV, Nazarchuk SS, Dunaevskiy VI, Kotovskiy VY, Timofeev VI. [Monitoring the status of the blood circulation in the lower limbs in patients with diabetes mellitus.]. International journal of endocrinology. 2018;14(8):769-75. Ukrainian. doi: https://doi.org/10.22141/2224-0721.14.8.2018.154858

Dunaievsky V., Kotovskyi V, Nazarchuk S, Kyslyi V. Expanding the modern approaches of diagnostics of the state of a biological object by introducing infrared thermography. National Health as Determinant of Sustainable Development of Society. Bratislava: St. Filip; 2021. р. 35-55. Available from: https://dspace.uzhnu.edu.ua/jspui/bitstream/lib/37505/3/Mono_VSEMvsMED2021.pdf

Hughes M, Herrick AL. Digital ulcers in systemic sclerosis. Rheumatology (Oxford). 2017;56(1):14-25. doi: https://doi.org/10.1039/rheumatology/kew047

Marushko TV. [Raynaud`s phenomenon in children: a modern view of the problem]. Health-ru.com. Cardiology. Rheumatology. Сardiac surgery. 2015;21(1). Ukrainian.

Ostafiychuk DI, Shaiko-Shaikovsky OG, Belov ME, Chibotaru KI. [Thermography, application in medicine]. Clinical and experimental pathology. 2019;18:1(67):126-31. Ukrainian. doi: https://doi.org/10.24061/1727-4338.XVIII.1.67.2019.218

Guk MT, Andreychyn MA, Shkilna MI, Zaporozhan SY. [Thermographic study of migrating erythema]. Scientific Bulletin of Uzhhorod University. Series "Medicine". 2021;1(63):43-48. Ukrainian. Available from: https://medvisnyk.uzhnu.uz.ua/index.php/med/article/view/167

Adam M, Ng E, Tan J, Heng M, Tong J, Acha-rya U. Computer aided diagnosis of diabetic foot using infrared thermography: A review. Computers in Biology and Medicine. 2017;91:326-36. doi: https://doi.org/10.1016/j.compbiomed.2017.10.030

Rusak OB. [Peculiarities of pathogenetic mechanisms of regional blood flow disorders in diabetic foot syndrome (literature review)]. International Endocrinology Journal. 2015;6(70):91-5. Ukrainian. doi: https://doi.org/10.22141/2224-0721.6.70.2015.72646

Kotovskyi VY, Dzhezheria YI. [Non-invasive technologies in biomedical research]. NTUU "KPI": Kyiv; 2014. 204 p. ISBN 978-966-432-157-7. Ukrainian. http://194.44.11.130/cgi-bin/irbis_nbuv/cgiirbis_64.exe?C21COM=S&I21DBN=EC&P21DBN=&S21FMT=JwU_B&S21ALL=%28%3C.%3EU%3D%D0%A0343.39%3C.%3E%29&Z21ID=&S21SRW=AVHEAD&S21SRD=&S21STN=1&S21REF=10&S21CNR=20

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Published

2023-03-30

How to Cite

1.
Zabolotnyi D, Loboda T, Dunaievskyi V, Kotovskyi V, Timofeiev V, Nazarchuk S. Application of the infrared thermography method in diagnosis of Raynaud`s phenomenon. Med. perspekt. [Internet]. 2023Mar.30 [cited 2024Dec.14];28(1):95-103. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/276014

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CLINICAL MEDICINE