<prompt> A female patient presented with Raynauds phenomenon in the emergency depament. All of the following clinical conditions exhibit Raynauds phenomenon, EXCEPT:SclerodermaDermatomyositisJuvenile rheumatoid ahritisSLE  <response>: Raynauds phenomenon RP is the clinical syndrome of episodic color changes of the digits in response to cold. It can be primary, or it may be secondary to an autoimmune disorder scleroderma, systemic lupus erythematosus , Sjogrens syndrome, dermatomyositis, polymyositis, or rheumatoid ahritis or to chronic exposure to mechanical vibration e.g., jackhammer operators. Patients classically present with initial acute, well-demarcated pallor of the digits that progresses to painful cyanosis and, finally, to red flushing and pain on reperfusion. Patients with secondary Raynauds phenomenon usually have more symptoms and have dilatation of the capillary bed at the base of the fingernails. Ref: Greenbergs Text-Atlas of Emergency Medicine By Michael I. Greenberg, M.D., 2005, Page 796; Schwazs Principles of Surgery, 9th edition, Chapter 23, Aerial Disease; Harrisons Internal Medicine, 17th edition, Chapter 243, Table 243-1. 