Goundry et al have presented a comprehensive review of the diagnosis and management of Raynaud's phenomenon (RP) in relation to connective tissue disease/ However, they do not include paraneoplastic syndromes in their list of conditions associated with secondary RP. The presence of underlying neoplasm in older patients presentingw ith new onset RP should always be considered (Rugienė R, Dadonienė J, Aleknavičius E, Tikuišis R, Distler J, Schett G, Venalis P, Venalis A.
Prevalence of paraneoplastic rheumatic syndromes and their antibody profile among patients with solid tumours Clin Rheumatol. 2011 Mar;30(3):373-80

Competing interests: None declared