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Raynaud's Phenomenon.

Last updated Monday, December 27, 2004

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What is raynaud's phenomenon?

Raynaud's (pronounced "ray-NODES") phenomenon refers to episodic color changes in the skin of the fingers and toes during exposure to cold or in response to emotional stress. In some people, the ears, lips, and nose may also be affected.

Although it is normal for blood flow to the fingers to be reduced in extreme cold, people with Raynaud's phenomenon have difficulty on mild days, in air-conditioned rooms, or when holding a cold drink. Episodes may last for several minutes after the body becomes warm again.

When this condition occurs in the absence of disease, it is known as "primary Raynaud's phenomenon." Approximately 10 percent of healthy women have this form. Raynaud's may also occur with diseases in which the blood vessels have been injured or when elements of the blood are sluggish. This form is called "secondary Raynaud's phenomenon" and is a feature of arthritis and related diseases such as scleroderma, lupus, rheumatoid arthritis, and others.

What symptoms indicate that raynaud's phenomenon needs immediate medical attention?

In secondary Raynaud's phenomenon, sores called ulcers may develop when blood does not flow adequately to the tissues. Examine feet and hands daily to check for ulcers. If an ulcer develops, keep it clean and covered and see a doctor right away.


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