Abstract:I have found in the investigation of patients with Raynaud's phenomenon ("secondary" Raynaud's), utilizing oesophageal motility studies, that those patients with no oesophageal symptoms in whom evidence of aper.stalsis or incoordination was found invariably developed scleroderma. On the other hand, when there was a normal motility pattern scleroderma did not develop. This simple investigation greatly helps when considering the prognosis and the natural history of Raynaud's phenomenon.-I am, etc.
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