Raynaud's phenomenon (patient information)

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Jinhui Wu, MD

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How do I know if I have Raynaud's phenomenon and what are the symptoms of Raynaud's phenomenon?

Signs and symptoms of Raynaud's phenomenon are similar with Raynaud's disease. But patients with Raynaud's phenomenon are more likely to have pain and tingling in different fingers.

• Turn pale or white and then blue
• Feel pain and tingling
• Turn red, throb, tingle, burn, or feel numb as blood flow returns to the affected areas
• For severe, they may appear skin ulcers

Who is at risk for Raynaud's phenomenon?

• Atherosclerosis
• Buerger's disease
• Arthritis
• Autoimmune diseases, such as scleroderma, Sjogren syndrome, rheumatoid arthritis, and systemic lupus erythematosus
• Thoracic outlet syndrome
• Certain drugs, such as amphetamines, certain types of beta-blockers, some cancer drugs, and methysergide.
• Repeated injury, such as those caused by typing or playing the piano
• Cold stimulstion
• Smoking

How to know you have Raynaud's phenomenon?

• Meidcal history and physical examination, espcially for the diseases that cause Raynaud's phenomenon.
• Cold stimulation test: Cold stimulation can be used to trigger Raynaud's phenomenon. During this test, your hands may be placed in ice water or exposed to cold air to trigger an episode of Raynaud's phenomenon. Then, the doctor measures the time for your fingers to return to their original temperature. If your fingers appear color changes and feel pain or tingling, and the time to return to original temperature is longer than 20 minutes, your doctor may consider Raynaud's phenomenon.
• Duplex ultrasound: A duplex ultrasound can check how blood moves through your arteries and veins and measure the speed and dirction of the flow. During the procedure, you lie down on a table. After putting a gel over the area being tested, the ultrasound technician will move a transducer to get the images. These images may help doctor diagnose diseases of the arteries and autoimmune diseases.

When to seek urgent medical care?

Call your health care provider if symptoms of Raynaud's phenomenon develop.

Diseases with similar symptoms

• Raynaud's disease

Where to find medical care for Raynaud's phenomenon?

Directions to Hospitals Treating Raynaud's phenomenon

Prevention of Raynaud's phenomenon

• Avoid cold stimulation
• Quit smoking
• Do some regular exercises

What to expect (Outlook/Prognosis)?

Prognosis of Raynaud's phenomenon varies, depending on:

• Underlying cause
• The severity of the disorder

Copyleft Sources

http://www.nlm.nih.gov/medlineplus/ency/article/000412.htm

http://www.medicinenet.com/raynauds_phenomenon/article.htm

http://www.cedars-sinai.edu/Patients/Health-Conditions/Raynauds-Phenomenon.aspx

http://www.healthscout.com/ency/68/273/main.html

http://emedicine.medscape.com/article/331197-overview