Raynaud's Disease

Raynaud’s disease is an exaggerated vasospastic response in the small arteries supplying the extremities, usually the fingers and toes. Episodes are triggered by cold exposure or emotional stress and cause the affected digits to turn white, then blue, and finally red as blood flow returns, often with numbness, tingling, or pain. It may occur on its own (primary Raynaud’s) or secondary to another condition such as an autoimmune disease.

The primary form is generally benign and managed with simple measures, whereas the secondary form can be associated with connective-tissue diseases such as scleroderma or lupus and warrants investigation. Avoiding cold and stress triggers and not smoking are central to management.

The aims of treatment are to reduce vasospasm, encourage circulation to the extremities, and address any other causative or contributing factors.

Long term Treatment Goals:

The long-term goals are to reduce the frequency and severity of attacks, maintain healthy circulation to the hands and feet, protect the skin from cold-related damage and ulceration, and manage any underlying condition.