Raynaud’s phenomenon is a condition in which cold temperatures or strong emotions cause blood vessel spasms that block blood flow to the fingers, toes, ears, and nose.
Raynaud's phenomenon can be associated with other conditions. This is called secondary Raynaud's phenomenon. Most people with the condition are over age 30.
Common causes are:
Raynaud's phenomenon also occurs without another disease, medication, or cause. This is called primary Raynaud's phenomenon. It most often begins in people younger than age 30.
Strong emotions or exposure to the cold causes the fingers, toes, ears, or nose to become white, then turn blue. When blood flow returns, the area becomes red and then later returns to normal color. The attacks may last from minutes to hours.
People with primary Raynaud's phenomenon (no other cause or condition) have problems in the same fingers on both sides, but they do not have very much pain.
People with Raynaud's phenomenon associated with other medical conditions are more likely to have pain or tingling in different fingers. The pain is rarely severe. There may be ulcers on the affected fingers.
Your health care provider can usually make the diagnosis by examining you and asking questions about your health history. However, vascular ultrasound and a cold stimulation test for Raynaud's phenomenon may be done to confirm the diagnosis.
Different blood tests may be done to diagnose arthritic and autoimmune conditions that may cause Raynaud's phenomenon.
The following lifestyle changes may help people with Raynaud's phenomenon:
Your health care provider may prescribe medications to relax the walls of the blood vessels. These include topical nitroglycerin, calcium channel blockers, sildenafil (Viagra), and ace inhibitors.
It is important to treat the condition causing Raynaud's phenomenon.
The outcome varies depending on the cause and the severity of the condition.
Call your health care provider if:
Avoid exposure to the cold. Dress warmly when you cannot avoid cold. If you smoke, stop smoking, as it further constricts the blood vessels.
Reviewed By: Ariel D. Teitel, MD, MBA, Chief, Division of Rheumatology, St. Vincent’s Hospital, New York, NY; Neil J. Gonter, MD, Assistant Professor of Medicine, Columbia University, NY and private practice specializing in Rheumatology at Rheumatology Associates of North Jersey, Teaneck, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.