Guest guest Posted November 5, 2002 Report Share Posted November 5, 2002 Mike, What you and others probably have Raynaud's syndrome, I had it to start about twenty years ago. I am no doctor so this is not professional advice. I think the paper will answer your questions. Sorry it is so long. God Bless, Judy & Jim Stark Cold hands and feet > Does anyone have any info on these symptoms and why this happens? > (This just started happening.) My husband was just diagnosed with > MSA a couple of weeks ago. So this is relatively new to us and we > don't know what to expect. He has some symptoms already but I can't > find anything about this. Could poor circulation be a problem too? > Thank you for any info... > > (advertisement) Home | Specialties | CME | PDA | Contributor Recruitment | Patient Education November 5, 2002 Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties > AAEM Emergency Medical and Family Health Guide > Bone, Joint, And Muscle Raynaud Syndrome Last Updated: March 6, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: Raynaud's disease, Raynaud's phenomenon, Raynaud's synd,rome CREST syndrome AUTHOR INFORMATION Section 1 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Author: Tammy Shields, MD, Staff Physician, Department of Emergency Medicine, Denver Health Medical Center Coauthor(s): B Colwell, MD, Medical Director of Denver Paramedic Division, Assistant Professor, Department of Surgery, Denver Health Medical Center, University of Colorado Health Sciences Center Tammy Shields, MD, is a member of the following medical societies: American Medical Association, American Medical Student Association/Foundation, and Phi Beta Kappa Editor(s): H Plantz, MD, FAAEM, Research Director, Assistant Professor, Department of Emergency Medicine, Mount Sinai School of Medicine; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; Rineer, MD, Deputy Medical Director, Consulting Staff, Chemical Biological Incident Response Force (CBIRF), United States Marine Corps; Adler, MD, Instructor, Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School; and Rebbecchi, MD, FAAEM, Program Director, Assistant Professor, Department of Emergency Medicine, University of Medicine and Dentistry of New Jersey INTRODUCTION Section 2 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Raynaud syndrome is a disease that causes brief contractions, called vasospasms, of the small arteries that supply blood to the arms and legs, hands and feet. Raynaud disease is usually diagnosed before age 40 years and occurs 5 times more frequently in women than men. CAUSES Section 3 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography There is no known cause for Raynaud syndrome. Certain factors can bring on a reaction. The condition known as Raynaud phenomenon, however, is caused by a specific disease. a.. Factors that can bring on Raynaud disease a.. Cold environments a.. Mental stressors a.. Certain occupations (vibration from tools) a.. Smoking a.. Causes of Raynaud phenomenon a.. Rheumatologic diseases: 70% of scleroderma cases (or systemic sclerosis) will initially look like Raynaud phenomenon. b.. Arterial diseases c.. Medications d.. Carpal tunnel syndrome e.. Hypothyroidism f.. Trauma SIGNS AND SYMPTOMS Section 4 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography When someone has an attack of Raynaud syndrome, the small arteries of the arms and legs clamp down, which limits blood flow. The tissues become deprived of the blood's oxygen, which causes color changes in the skin. a.. At first, the skin blanches, turning very white, then blue as the tissues get colder. The person will complain of numbness in the fingers and occasional pain. Skin affected will feel very cold. The areas suffering from lack of oxygen are very well demarcated, usually occurring at joint lines. a.. Changes usually occur in the fingers. Blanching may occur in only 1 or 2 fingers, but it is not uncommon to see changes in all fingers. In addition, it may affect the toes, tip of the nose, or even the earlobes. Raynaud disease will almost always affect both hands. Raynaud phenomenon may only affect one hand. a.. After the arteries relax again, the tissues get oxygen. Skin color changes from blue to a bright red color. The color change from white to blue to red is called a triphasic reaction. a.. These color changes from pallor (white) to cyanosis (blue) to rubor (red), the medical terminology for these colors in the triphasic reaction, are essential information for your doctor to make the diagnosis of Raynaud. Quick Find Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Click for related images. Continuing Education CME currently not offered for this topic. Click here for sponsored CME. Patient Education Click here for patient education. HOME CARE Section 5 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Prevention is the best treatment for Raynaud syndrome. a.. Avoid exposure to cold environments if possible. a.. Wear warm clothing over hands, feet, and entire body. a.. Wear loose-fitting clothing in layers. a.. Avoid prolonged vibration to fingers. a.. Stop smoking or never start. WHEN TO CALL THE DOCTOR Section 6 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography The attacks of Raynaud disease are usually harmless and go away on their own, in time. However, the doctor can suggest ways to manage and treat the disease. Call your doctor in these instances: a.. Your extremities remain cool or discolored despite rewarming. a.. There is an increasing frequency of attacks despite prevention techniques. a.. You need help to quit smoking. WHEN TO GO TO THE HOSPITAL Section 7 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography If you have continuing discoloration of fingertips or parts of your arms or legs, or if it appears that gangrene may be present, prompt medical evaluation is needed. Gangrene is tissue death or decay and appears as gray or black in color. PHYSICIAN DIAGNOSIS Section 8 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Usually the attacks of Raynaud syndrome are temporary. A doctor relies on your medical history to make a diagnosis. If the doctor suspects that you may have Raynaud phenomenon caused by a specific disease, the doctor may perform laboratory tests to find out. PHYSICIAN TREATMENT Section 9 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Treatment is primarily aimed toward education and prevention. Information about avoiding cold or stress may be given, as well as more information about how to stop smoking. However, in some cases, the disease may progress to the point where medication may be given to help relieve symptoms. These medications, called vasodilators, help relax and widen the walls of the arteries that supply blood to the hands and feet. PROGNOSIS Section 10 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Raynaud syndrome is usually harmless. The changes usually go away when the person has moved to a warm environment or has eliminated the stressor that brought on the symptoms. Yet complications can develop: a.. When the arteries remain constricted for very long periods of time, there may be gangrene of the fingertips. This occurs in less than 1% of people. a.. Raynaud associated with scleroderma disease may result in painful fissures and ulcers. PREVENTION Section 11 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Preventing the arteries from narrowing is the key to living successfully with Raynaud syndrome. a.. Avoid cold weather. Dress in warm, loose-fitted layers of clothing. a.. If you smoke, work with your doctor to try to stop. a.. Try to identify stressors in your life that worsen the symptoms. PICTURES Section 12 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Caption: Picture 1. Illustration of Raynaud disease: The author's hands on a sunny 50-degree day. View Full Size Image eMedicine Zoom View (Interactive!) Picture Type: Photo BIBLIOGRAPHY Section 13 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography a.. Cherniack M, Clive J, Seidner A: Vibration exposure, smoking, and vascular dysfunction. Occup Environ Med 2000 May; 57(5): 341-7[Medline]. b.. Gardner-Medwin JM, Macdonald IA, JY: Seasonal differences in finger skin temperature and microvascular blood flow in healthy men and women are exaggerated in women with primary Raynaud's phenomenon. Br J Clin Pharmacol 2001 Jul; 52(1): 17-23[Medline]. c.. Ling SM, Wigley FM: Raynaud's phenomenon in older adults: diagnostic considerations and management [published erratum appears in Drugs Aging 2000 Feb;16(2):121]. Drugs Aging 1999 Sep; 15(3): 183-95[Medline]. d.. Palesch YY, Valter I, Carpentier PH: Association between cigarette and alcohol consumption and Raynaud's phenomenon. J Clin Epidemiol 1999 Apr; 52(4): 321-8[Medline]. e.. Rosen P, Barkin R: Emergency Medicine: Concepts and Clinical Practice. Mosby-Year Book; 1998:1841-2. f.. F, J, Klaus W, et al: Color Atlas and Synopsis of Clinical Dermatology. McGraw-Hill; 1997:364-66. g.. HR, Robb R, Belcher G: Seasonal variation of Raynaud's phenomenon secondary to systemic sclerosis. J Rheumatol 1999 Aug; 26(8): 1734-7[Medline]. NOTE: Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily. The authors, editors, and publisher of this journal have used their best efforts to provide information that is up-to-date and accurate and is generally accepted within medical standards at the time of publication. However, as medical science is constantly changing and human error is always possible, the authors, editors, and publisher or any other party involved with the publication of this article do not warrant the information in this article is accurate or complete, nor are they responsible for omissions or errors in the article or for the results of using this information. The reader should confirm the information in this article from other sources prior to use. In particular, all drug doses, indications, and contraindications should be confirmed in the package insert. FULL DISCLAIMER Raynaud Syndrome excerpt © Copyright 2002, eMedicine.com, Inc. About Us | Privacy | Code of Ethics | Contact Us | Advertise | Institutional Subscribers > If you do not wish to belong to shydrager, you may > unsubscribe by sending a blank email to > > shydrager-unsubscribe > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2002 Report Share Posted November 5, 2002 Mike, What you and others probably have Raynaud's syndrome, I had it to start about twenty years ago. I am no doctor so this is not professional advice. I think the paper will answer your questions. Sorry it is so long. God Bless, Judy & Jim Stark Cold hands and feet > Does anyone have any info on these symptoms and why this happens? > (This just started happening.) My husband was just diagnosed with > MSA a couple of weeks ago. So this is relatively new to us and we > don't know what to expect. He has some symptoms already but I can't > find anything about this. Could poor circulation be a problem too? > Thank you for any info... > > (advertisement) Home | Specialties | CME | PDA | Contributor Recruitment | Patient Education November 5, 2002 Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties > AAEM Emergency Medical and Family Health Guide > Bone, Joint, And Muscle Raynaud Syndrome Last Updated: March 6, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: Raynaud's disease, Raynaud's phenomenon, Raynaud's synd,rome CREST syndrome AUTHOR INFORMATION Section 1 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Author: Tammy Shields, MD, Staff Physician, Department of Emergency Medicine, Denver Health Medical Center Coauthor(s): B Colwell, MD, Medical Director of Denver Paramedic Division, Assistant Professor, Department of Surgery, Denver Health Medical Center, University of Colorado Health Sciences Center Tammy Shields, MD, is a member of the following medical societies: American Medical Association, American Medical Student Association/Foundation, and Phi Beta Kappa Editor(s): H Plantz, MD, FAAEM, Research Director, Assistant Professor, Department of Emergency Medicine, Mount Sinai School of Medicine; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; Rineer, MD, Deputy Medical Director, Consulting Staff, Chemical Biological Incident Response Force (CBIRF), United States Marine Corps; Adler, MD, Instructor, Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School; and Rebbecchi, MD, FAAEM, Program Director, Assistant Professor, Department of Emergency Medicine, University of Medicine and Dentistry of New Jersey INTRODUCTION Section 2 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Raynaud syndrome is a disease that causes brief contractions, called vasospasms, of the small arteries that supply blood to the arms and legs, hands and feet. Raynaud disease is usually diagnosed before age 40 years and occurs 5 times more frequently in women than men. CAUSES Section 3 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography There is no known cause for Raynaud syndrome. Certain factors can bring on a reaction. The condition known as Raynaud phenomenon, however, is caused by a specific disease. a.. Factors that can bring on Raynaud disease a.. Cold environments a.. Mental stressors a.. Certain occupations (vibration from tools) a.. Smoking a.. Causes of Raynaud phenomenon a.. Rheumatologic diseases: 70% of scleroderma cases (or systemic sclerosis) will initially look like Raynaud phenomenon. b.. Arterial diseases c.. Medications d.. Carpal tunnel syndrome e.. Hypothyroidism f.. Trauma SIGNS AND SYMPTOMS Section 4 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography When someone has an attack of Raynaud syndrome, the small arteries of the arms and legs clamp down, which limits blood flow. The tissues become deprived of the blood's oxygen, which causes color changes in the skin. a.. At first, the skin blanches, turning very white, then blue as the tissues get colder. The person will complain of numbness in the fingers and occasional pain. Skin affected will feel very cold. The areas suffering from lack of oxygen are very well demarcated, usually occurring at joint lines. a.. Changes usually occur in the fingers. Blanching may occur in only 1 or 2 fingers, but it is not uncommon to see changes in all fingers. In addition, it may affect the toes, tip of the nose, or even the earlobes. Raynaud disease will almost always affect both hands. Raynaud phenomenon may only affect one hand. a.. After the arteries relax again, the tissues get oxygen. Skin color changes from blue to a bright red color. The color change from white to blue to red is called a triphasic reaction. a.. These color changes from pallor (white) to cyanosis (blue) to rubor (red), the medical terminology for these colors in the triphasic reaction, are essential information for your doctor to make the diagnosis of Raynaud. Quick Find Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Click for related images. Continuing Education CME currently not offered for this topic. Click here for sponsored CME. Patient Education Click here for patient education. HOME CARE Section 5 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Prevention is the best treatment for Raynaud syndrome. a.. Avoid exposure to cold environments if possible. a.. Wear warm clothing over hands, feet, and entire body. a.. Wear loose-fitting clothing in layers. a.. Avoid prolonged vibration to fingers. a.. Stop smoking or never start. WHEN TO CALL THE DOCTOR Section 6 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography The attacks of Raynaud disease are usually harmless and go away on their own, in time. However, the doctor can suggest ways to manage and treat the disease. Call your doctor in these instances: a.. Your extremities remain cool or discolored despite rewarming. a.. There is an increasing frequency of attacks despite prevention techniques. a.. You need help to quit smoking. WHEN TO GO TO THE HOSPITAL Section 7 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography If you have continuing discoloration of fingertips or parts of your arms or legs, or if it appears that gangrene may be present, prompt medical evaluation is needed. Gangrene is tissue death or decay and appears as gray or black in color. PHYSICIAN DIAGNOSIS Section 8 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Usually the attacks of Raynaud syndrome are temporary. A doctor relies on your medical history to make a diagnosis. If the doctor suspects that you may have Raynaud phenomenon caused by a specific disease, the doctor may perform laboratory tests to find out. PHYSICIAN TREATMENT Section 9 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Treatment is primarily aimed toward education and prevention. Information about avoiding cold or stress may be given, as well as more information about how to stop smoking. However, in some cases, the disease may progress to the point where medication may be given to help relieve symptoms. These medications, called vasodilators, help relax and widen the walls of the arteries that supply blood to the hands and feet. PROGNOSIS Section 10 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Raynaud syndrome is usually harmless. The changes usually go away when the person has moved to a warm environment or has eliminated the stressor that brought on the symptoms. Yet complications can develop: a.. When the arteries remain constricted for very long periods of time, there may be gangrene of the fingertips. This occurs in less than 1% of people. a.. Raynaud associated with scleroderma disease may result in painful fissures and ulcers. PREVENTION Section 11 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Preventing the arteries from narrowing is the key to living successfully with Raynaud syndrome. a.. Avoid cold weather. Dress in warm, loose-fitted layers of clothing. a.. If you smoke, work with your doctor to try to stop. a.. Try to identify stressors in your life that worsen the symptoms. PICTURES Section 12 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography Caption: Picture 1. Illustration of Raynaud disease: The author's hands on a sunny 50-degree day. View Full Size Image eMedicine Zoom View (Interactive!) Picture Type: Photo BIBLIOGRAPHY Section 13 of 13 Author Information Introduction Causes Signs And Symptoms Home Care When To Call The Doctor When To Go To The Hospital Physician Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography a.. Cherniack M, Clive J, Seidner A: Vibration exposure, smoking, and vascular dysfunction. Occup Environ Med 2000 May; 57(5): 341-7[Medline]. b.. Gardner-Medwin JM, Macdonald IA, JY: Seasonal differences in finger skin temperature and microvascular blood flow in healthy men and women are exaggerated in women with primary Raynaud's phenomenon. Br J Clin Pharmacol 2001 Jul; 52(1): 17-23[Medline]. c.. Ling SM, Wigley FM: Raynaud's phenomenon in older adults: diagnostic considerations and management [published erratum appears in Drugs Aging 2000 Feb;16(2):121]. Drugs Aging 1999 Sep; 15(3): 183-95[Medline]. d.. Palesch YY, Valter I, Carpentier PH: Association between cigarette and alcohol consumption and Raynaud's phenomenon. J Clin Epidemiol 1999 Apr; 52(4): 321-8[Medline]. e.. Rosen P, Barkin R: Emergency Medicine: Concepts and Clinical Practice. Mosby-Year Book; 1998:1841-2. f.. F, J, Klaus W, et al: Color Atlas and Synopsis of Clinical Dermatology. McGraw-Hill; 1997:364-66. g.. HR, Robb R, Belcher G: Seasonal variation of Raynaud's phenomenon secondary to systemic sclerosis. J Rheumatol 1999 Aug; 26(8): 1734-7[Medline]. NOTE: Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily. The authors, editors, and publisher of this journal have used their best efforts to provide information that is up-to-date and accurate and is generally accepted within medical standards at the time of publication. However, as medical science is constantly changing and human error is always possible, the authors, editors, and publisher or any other party involved with the publication of this article do not warrant the information in this article is accurate or complete, nor are they responsible for omissions or errors in the article or for the results of using this information. The reader should confirm the information in this article from other sources prior to use. In particular, all drug doses, indications, and contraindications should be confirmed in the package insert. FULL DISCLAIMER Raynaud Syndrome excerpt © Copyright 2002, eMedicine.com, Inc. About Us | Privacy | Code of Ethics | Contact Us | Advertise | Institutional Subscribers > If you do not wish to belong to shydrager, you may > unsubscribe by sending a blank email to > > shydrager-unsubscribe > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2002 Report Share Posted November 5, 2002 My husband Jerry has MSA and for the last couple years he has had cold hands and feet. Like others, he does not sweat either. We have to be real careful here in Arizona with the extreme summer temperatures. Jan > Does anyone have any info on these symptoms and why this happens? > (This just started happening.) My husband was just diagnosed with > MSA a couple of weeks ago. So this is relatively new to us and we > don't know what to expect. He has some symptoms already but I can't > find anything about this. Could poor circulation be a problem too? > Thank you for any info... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2002 Report Share Posted November 5, 2002 My husband Jerry has MSA and for the last couple years he has had cold hands and feet. Like others, he does not sweat either. We have to be real careful here in Arizona with the extreme summer temperatures. Jan > Does anyone have any info on these symptoms and why this happens? > (This just started happening.) My husband was just diagnosed with > MSA a couple of weeks ago. So this is relatively new to us and we > don't know what to expect. He has some symptoms already but I can't > find anything about this. Could poor circulation be a problem too? > Thank you for any info... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2002 Report Share Posted November 5, 2002 Early on, my husband was diagnosed with Raynaud's Syndrome.....His hands and feet were very cold..They almost looked as if they had been frozen and were thawing. Later, as his illness progressed, there were many other things that did not quiet work right. I am not a researcher, but I do believe that each of this things that did not work just right... are all controlled by the autonomic nervous system. Remember, that is what this illness is all about.. the autonomic nervous system. I also believe that some times this " master control " works while other times is does not... throughout the illness. You may well find that at other times in your life, your husband will have other and changing symptoms. We went through times when Speedy would be very cool (his body feeling) and other times he would be too warm. This is all in a room that the temperature is automatically controlled. Best wishes to you, Marilyn in TN > > Organization: B52F > Reply-To: shydrager > Date: Tue, 5 Nov 2002 22:09:28 -0600 > To: <shydrager > > Subject: Re: Cold hands and feet > > Mike, > What you and others probably have Raynaud's syndrome, I had it to start > about twenty years ago. I am no doctor so this is not professional advice. I > think the paper will answer your questions. Sorry it is so long. > > God Bless, > Judy & Jim Stark > > Cold hands and feet > > >> Does anyone have any info on these symptoms and why this happens? >> (This just started happening.) My husband was just diagnosed with >> MSA a couple of weeks ago. So this is relatively new to us and we >> don't know what to expect. He has some symptoms already but I can't >> find anything about this. Could poor circulation be a problem too? >> Thank you for any info... >> >> > (advertisement) > Home | Specialties | CME | PDA | Contributor Recruitment | > Patient Education > > November 5, 2002 > > Articles Images CME Patient Education Advanced Search > Link to this site > > Back to: eMedicine Specialties > AAEM Emergency Medical and > Family Health Guide > Bone, Joint, And Muscle > > > Raynaud Syndrome > Last Updated: March 6, 2002 Rate this Article > Email to a Colleague > > Synonyms and related keywords: Raynaud's disease, Raynaud's > phenomenon, Raynaud's synd,rome CREST syndrome > > AUTHOR INFORMATION Section 1 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Author: Tammy Shields, MD, Staff Physician, Department of > Emergency Medicine, Denver Health Medical Center > Coauthor(s): B Colwell, MD, Medical Director of > Denver Paramedic Division, Assistant Professor, Department of Surgery, > Denver Health Medical Center, University of Colorado Health Sciences Center > > > Tammy Shields, MD, is a member of the following medical > societies: American Medical Association, American Medical Student > Association/Foundation, and Phi Beta Kappa > > Editor(s): H Plantz, MD, FAAEM, Research Director, > Assistant Professor, Department of Emergency Medicine, Mount Sinai School of > Medicine; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, > eMedicine; Rineer, MD, Deputy Medical Director, Consulting Staff, > Chemical Biological Incident Response Force (CBIRF), United States Marine > Corps; Adler, MD, Instructor, Department of Emergency Medicine, > Massachusetts General Hospital, Harvard Medical School; and > Rebbecchi, MD, FAAEM, Program Director, Assistant Professor, Department of > Emergency Medicine, University of Medicine and Dentistry of New Jersey > INTRODUCTION Section 2 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Raynaud syndrome is a disease that causes brief contractions, called > vasospasms, of the small arteries that supply blood to the arms and legs, > hands and feet. Raynaud disease is usually diagnosed before age 40 years and > occurs 5 times more frequently in women than men. CAUSES Section 3 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > There is no known cause for Raynaud syndrome. Certain factors can > bring on a reaction. > > The condition known as Raynaud phenomenon, however, is caused by a > specific disease. > > a.. Factors that can bring on Raynaud disease > a.. Cold environments > a.. Mental stressors > a.. Certain occupations (vibration from tools) > a.. Smoking > a.. Causes of Raynaud phenomenon > > a.. Rheumatologic diseases: 70% of scleroderma cases (or systemic > sclerosis) will initially look like Raynaud phenomenon. > > b.. Arterial diseases > > c.. Medications > > d.. Carpal tunnel syndrome > > e.. Hypothyroidism > > f.. Trauma > SIGNS AND SYMPTOMS Section 4 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > When someone has an attack of Raynaud syndrome, the small arteries of > the arms and legs clamp down, which limits blood flow. The tissues become > deprived of the blood's oxygen, which causes color changes in the skin. > > a.. At first, the skin blanches, turning very white, then blue as > the tissues get colder. The person will complain of numbness in the fingers > and occasional pain. Skin affected will feel very cold. The areas suffering > from lack of oxygen are very well demarcated, usually occurring at joint > lines. > a.. Changes usually occur in the fingers. Blanching may occur in > only 1 or 2 fingers, but it is not uncommon to see changes in all fingers. > In addition, it may affect the toes, tip of the nose, or even the earlobes. > Raynaud disease will almost always affect both hands. Raynaud phenomenon may > only affect one hand. > a.. After the arteries relax again, the tissues get oxygen. Skin > color changes from blue to a bright red color. The color change from white > to blue to red is called a triphasic reaction. > a.. These color changes from pallor (white) to cyanosis (blue) to > rubor (red), the medical terminology for these colors in the triphasic > reaction, are essential information for your doctor to make the diagnosis of > Raynaud. > Quick Find > Author Information > Introduction > Causes > Signs And Symptoms > Home Care > When To Call The Doctor > When To Go To The Hospital > Physician Diagnosis > Physician Treatment > Prognosis > Prevention > Pictures > Bibliography > > Click for related images. > > Continuing Education > CME currently not offered for this topic. Click here > for sponsored CME. > > > Patient Education > Click here for patient education. > > > > > > > HOME CARE Section 5 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > Prevention is the best treatment for Raynaud syndrome. > > a.. Avoid exposure to cold environments if possible. > a.. Wear warm clothing over hands, feet, and entire body. > a.. Wear loose-fitting clothing in layers. > a.. Avoid prolonged vibration to fingers. > a.. Stop smoking or never start. > WHEN TO CALL THE DOCTOR Section 6 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > The attacks of Raynaud disease are usually harmless and go away on > their own, in time. However, the doctor can suggest ways to manage and treat > the disease. > > Call your doctor in these instances: > > a.. Your extremities remain cool or discolored despite rewarming. > a.. There is an increasing frequency of attacks despite prevention > techniques. > a.. You need help to quit smoking. > WHEN TO GO TO THE HOSPITAL Section 7 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > If you have continuing discoloration of fingertips or parts of your > arms or legs, or if it appears that gangrene may be present, prompt medical > evaluation is needed. Gangrene is tissue death or decay and appears as gray > or black in color. PHYSICIAN DIAGNOSIS Section 8 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Usually the attacks of Raynaud syndrome are temporary. A doctor relies > on your medical history to make a diagnosis. If the doctor suspects that you > may have Raynaud phenomenon caused by a specific disease, the doctor may > perform laboratory tests to find out. PHYSICIAN TREATMENT Section 9 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Treatment is primarily aimed toward education and prevention. > Information about avoiding cold or stress may be given, as well as more > information about how to stop smoking. However, in some cases, the disease > may progress to the point where medication may be given to help relieve > symptoms. These medications, called vasodilators, help relax and widen the > walls of the arteries that supply blood to the hands and feet. PROGNOSIS > Section 10 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Raynaud syndrome is usually harmless. The changes usually go away when > the person has moved to a warm environment or has eliminated the stressor > that brought on the symptoms. > > Yet complications can develop: > > a.. When the arteries remain constricted for very long periods of > time, there may be gangrene of the fingertips. This occurs in less than 1% > of people. > a.. Raynaud associated with scleroderma disease may result in > painful fissures and ulcers. > PREVENTION Section 11 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > Preventing the arteries from narrowing is the key to living > successfully with Raynaud syndrome. > > a.. Avoid cold weather. Dress in warm, loose-fitted layers of > clothing. > a.. If you smoke, work with your doctor to try to stop. > a.. Try to identify stressors in your life that worsen the symptoms. > PICTURES Section 12 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > Caption: Picture 1. Illustration of Raynaud disease: The > author's hands on a sunny 50-degree day. > View Full Size Image > eMedicine Zoom View (Interactive!) > Picture Type: Photo > BIBLIOGRAPHY Section 13 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > > a.. Cherniack M, Clive J, Seidner A: Vibration exposure, smoking, > and vascular dysfunction. Occup Environ Med 2000 May; 57(5): 341-7[Medline]. > b.. Gardner-Medwin JM, Macdonald IA, JY: Seasonal differences > in finger skin temperature and microvascular blood flow in healthy men and > women are exaggerated in women with primary Raynaud's phenomenon. Br J Clin > Pharmacol 2001 Jul; 52(1): 17-23[Medline]. > c.. Ling SM, Wigley FM: Raynaud's phenomenon in older adults: > diagnostic considerations and management [published erratum appears in Drugs > Aging 2000 Feb;16(2):121]. Drugs Aging 1999 Sep; 15(3): 183-95[Medline]. > d.. Palesch YY, Valter I, Carpentier PH: Association between > cigarette and alcohol consumption and Raynaud's phenomenon. J Clin Epidemiol > 1999 Apr; 52(4): 321-8[Medline]. > e.. Rosen P, Barkin R: Emergency Medicine: Concepts and Clinical > Practice. Mosby-Year Book; 1998:1841-2. > f.. F, J, Klaus W, et al: Color Atlas and Synopsis of > Clinical Dermatology. McGraw-Hill; 1997:364-66. > g.. HR, Robb R, Belcher G: Seasonal variation of Raynaud's > phenomenon secondary to systemic sclerosis. J Rheumatol 1999 Aug; 26(8): > 1734-7[Medline]. > > > NOTE: > Medicine is a constantly changing science and not all therapies > are clearly established. New research changes drug and treatment therapies > daily. The authors, editors, and publisher of this journal have used their > best efforts to provide information that is up-to-date and accurate and is > generally accepted within medical standards at the time of publication. > However, as medical science is constantly changing and human error is always > possible, the authors, editors, and publisher or any other party involved > with the publication of this article do not warrant the information in this > article is accurate or complete, nor are they responsible for omissions or > errors in the article or for the results of using this information. The > reader should confirm the information in this article from other sources > prior to use. In particular, all drug doses, indications, and > contraindications should be confirmed in the package insert. FULL DISCLAIMER > > > Raynaud Syndrome excerpt > > © Copyright 2002, eMedicine.com, Inc. > > About Us | Privacy | Code of Ethics | Contact Us | Advertise | > Institutional Subscribers > >> If you do not wish to belong to shydrager, you may >> unsubscribe by sending a blank email to >> >> shydrager-unsubscribe >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2002 Report Share Posted November 5, 2002 Early on, my husband was diagnosed with Raynaud's Syndrome.....His hands and feet were very cold..They almost looked as if they had been frozen and were thawing. Later, as his illness progressed, there were many other things that did not quiet work right. I am not a researcher, but I do believe that each of this things that did not work just right... are all controlled by the autonomic nervous system. Remember, that is what this illness is all about.. the autonomic nervous system. I also believe that some times this " master control " works while other times is does not... throughout the illness. You may well find that at other times in your life, your husband will have other and changing symptoms. We went through times when Speedy would be very cool (his body feeling) and other times he would be too warm. This is all in a room that the temperature is automatically controlled. Best wishes to you, Marilyn in TN > > Organization: B52F > Reply-To: shydrager > Date: Tue, 5 Nov 2002 22:09:28 -0600 > To: <shydrager > > Subject: Re: Cold hands and feet > > Mike, > What you and others probably have Raynaud's syndrome, I had it to start > about twenty years ago. I am no doctor so this is not professional advice. I > think the paper will answer your questions. Sorry it is so long. > > God Bless, > Judy & Jim Stark > > Cold hands and feet > > >> Does anyone have any info on these symptoms and why this happens? >> (This just started happening.) My husband was just diagnosed with >> MSA a couple of weeks ago. So this is relatively new to us and we >> don't know what to expect. He has some symptoms already but I can't >> find anything about this. Could poor circulation be a problem too? >> Thank you for any info... >> >> > (advertisement) > Home | Specialties | CME | PDA | Contributor Recruitment | > Patient Education > > November 5, 2002 > > Articles Images CME Patient Education Advanced Search > Link to this site > > Back to: eMedicine Specialties > AAEM Emergency Medical and > Family Health Guide > Bone, Joint, And Muscle > > > Raynaud Syndrome > Last Updated: March 6, 2002 Rate this Article > Email to a Colleague > > Synonyms and related keywords: Raynaud's disease, Raynaud's > phenomenon, Raynaud's synd,rome CREST syndrome > > AUTHOR INFORMATION Section 1 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Author: Tammy Shields, MD, Staff Physician, Department of > Emergency Medicine, Denver Health Medical Center > Coauthor(s): B Colwell, MD, Medical Director of > Denver Paramedic Division, Assistant Professor, Department of Surgery, > Denver Health Medical Center, University of Colorado Health Sciences Center > > > Tammy Shields, MD, is a member of the following medical > societies: American Medical Association, American Medical Student > Association/Foundation, and Phi Beta Kappa > > Editor(s): H Plantz, MD, FAAEM, Research Director, > Assistant Professor, Department of Emergency Medicine, Mount Sinai School of > Medicine; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, > eMedicine; Rineer, MD, Deputy Medical Director, Consulting Staff, > Chemical Biological Incident Response Force (CBIRF), United States Marine > Corps; Adler, MD, Instructor, Department of Emergency Medicine, > Massachusetts General Hospital, Harvard Medical School; and > Rebbecchi, MD, FAAEM, Program Director, Assistant Professor, Department of > Emergency Medicine, University of Medicine and Dentistry of New Jersey > INTRODUCTION Section 2 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Raynaud syndrome is a disease that causes brief contractions, called > vasospasms, of the small arteries that supply blood to the arms and legs, > hands and feet. Raynaud disease is usually diagnosed before age 40 years and > occurs 5 times more frequently in women than men. CAUSES Section 3 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > There is no known cause for Raynaud syndrome. Certain factors can > bring on a reaction. > > The condition known as Raynaud phenomenon, however, is caused by a > specific disease. > > a.. Factors that can bring on Raynaud disease > a.. Cold environments > a.. Mental stressors > a.. Certain occupations (vibration from tools) > a.. Smoking > a.. Causes of Raynaud phenomenon > > a.. Rheumatologic diseases: 70% of scleroderma cases (or systemic > sclerosis) will initially look like Raynaud phenomenon. > > b.. Arterial diseases > > c.. Medications > > d.. Carpal tunnel syndrome > > e.. Hypothyroidism > > f.. Trauma > SIGNS AND SYMPTOMS Section 4 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > When someone has an attack of Raynaud syndrome, the small arteries of > the arms and legs clamp down, which limits blood flow. The tissues become > deprived of the blood's oxygen, which causes color changes in the skin. > > a.. At first, the skin blanches, turning very white, then blue as > the tissues get colder. The person will complain of numbness in the fingers > and occasional pain. Skin affected will feel very cold. The areas suffering > from lack of oxygen are very well demarcated, usually occurring at joint > lines. > a.. Changes usually occur in the fingers. Blanching may occur in > only 1 or 2 fingers, but it is not uncommon to see changes in all fingers. > In addition, it may affect the toes, tip of the nose, or even the earlobes. > Raynaud disease will almost always affect both hands. Raynaud phenomenon may > only affect one hand. > a.. After the arteries relax again, the tissues get oxygen. Skin > color changes from blue to a bright red color. The color change from white > to blue to red is called a triphasic reaction. > a.. These color changes from pallor (white) to cyanosis (blue) to > rubor (red), the medical terminology for these colors in the triphasic > reaction, are essential information for your doctor to make the diagnosis of > Raynaud. > Quick Find > Author Information > Introduction > Causes > Signs And Symptoms > Home Care > When To Call The Doctor > When To Go To The Hospital > Physician Diagnosis > Physician Treatment > Prognosis > Prevention > Pictures > Bibliography > > Click for related images. > > Continuing Education > CME currently not offered for this topic. Click here > for sponsored CME. > > > Patient Education > Click here for patient education. > > > > > > > HOME CARE Section 5 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > Prevention is the best treatment for Raynaud syndrome. > > a.. Avoid exposure to cold environments if possible. > a.. Wear warm clothing over hands, feet, and entire body. > a.. Wear loose-fitting clothing in layers. > a.. Avoid prolonged vibration to fingers. > a.. Stop smoking or never start. > WHEN TO CALL THE DOCTOR Section 6 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > The attacks of Raynaud disease are usually harmless and go away on > their own, in time. However, the doctor can suggest ways to manage and treat > the disease. > > Call your doctor in these instances: > > a.. Your extremities remain cool or discolored despite rewarming. > a.. There is an increasing frequency of attacks despite prevention > techniques. > a.. You need help to quit smoking. > WHEN TO GO TO THE HOSPITAL Section 7 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > If you have continuing discoloration of fingertips or parts of your > arms or legs, or if it appears that gangrene may be present, prompt medical > evaluation is needed. Gangrene is tissue death or decay and appears as gray > or black in color. PHYSICIAN DIAGNOSIS Section 8 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Usually the attacks of Raynaud syndrome are temporary. A doctor relies > on your medical history to make a diagnosis. If the doctor suspects that you > may have Raynaud phenomenon caused by a specific disease, the doctor may > perform laboratory tests to find out. PHYSICIAN TREATMENT Section 9 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Treatment is primarily aimed toward education and prevention. > Information about avoiding cold or stress may be given, as well as more > information about how to stop smoking. However, in some cases, the disease > may progress to the point where medication may be given to help relieve > symptoms. These medications, called vasodilators, help relax and widen the > walls of the arteries that supply blood to the hands and feet. PROGNOSIS > Section 10 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > Raynaud syndrome is usually harmless. The changes usually go away when > the person has moved to a warm environment or has eliminated the stressor > that brought on the symptoms. > > Yet complications can develop: > > a.. When the arteries remain constricted for very long periods of > time, there may be gangrene of the fingertips. This occurs in less than 1% > of people. > a.. Raynaud associated with scleroderma disease may result in > painful fissures and ulcers. > PREVENTION Section 11 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > Preventing the arteries from narrowing is the key to living > successfully with Raynaud syndrome. > > a.. Avoid cold weather. Dress in warm, loose-fitted layers of > clothing. > a.. If you smoke, work with your doctor to try to stop. > a.. Try to identify stressors in your life that worsen the symptoms. > PICTURES Section 12 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > Caption: Picture 1. Illustration of Raynaud disease: The > author's hands on a sunny 50-degree day. > View Full Size Image > eMedicine Zoom View (Interactive!) > Picture Type: Photo > BIBLIOGRAPHY Section 13 of 13 > Author Information Introduction Causes Signs And Symptoms > Home Care When To Call The Doctor When To Go To The Hospital Physician > Diagnosis Physician Treatment Prognosis Prevention Pictures Bibliography > > > > > > a.. Cherniack M, Clive J, Seidner A: Vibration exposure, smoking, > and vascular dysfunction. Occup Environ Med 2000 May; 57(5): 341-7[Medline]. > b.. Gardner-Medwin JM, Macdonald IA, JY: Seasonal differences > in finger skin temperature and microvascular blood flow in healthy men and > women are exaggerated in women with primary Raynaud's phenomenon. Br J Clin > Pharmacol 2001 Jul; 52(1): 17-23[Medline]. > c.. Ling SM, Wigley FM: Raynaud's phenomenon in older adults: > diagnostic considerations and management [published erratum appears in Drugs > Aging 2000 Feb;16(2):121]. Drugs Aging 1999 Sep; 15(3): 183-95[Medline]. > d.. Palesch YY, Valter I, Carpentier PH: Association between > cigarette and alcohol consumption and Raynaud's phenomenon. J Clin Epidemiol > 1999 Apr; 52(4): 321-8[Medline]. > e.. Rosen P, Barkin R: Emergency Medicine: Concepts and Clinical > Practice. Mosby-Year Book; 1998:1841-2. > f.. F, J, Klaus W, et al: Color Atlas and Synopsis of > Clinical Dermatology. McGraw-Hill; 1997:364-66. > g.. HR, Robb R, Belcher G: Seasonal variation of Raynaud's > phenomenon secondary to systemic sclerosis. J Rheumatol 1999 Aug; 26(8): > 1734-7[Medline]. > > > NOTE: > Medicine is a constantly changing science and not all therapies > are clearly established. New research changes drug and treatment therapies > daily. The authors, editors, and publisher of this journal have used their > best efforts to provide information that is up-to-date and accurate and is > generally accepted within medical standards at the time of publication. > However, as medical science is constantly changing and human error is always > possible, the authors, editors, and publisher or any other party involved > with the publication of this article do not warrant the information in this > article is accurate or complete, nor are they responsible for omissions or > errors in the article or for the results of using this information. The > reader should confirm the information in this article from other sources > prior to use. In particular, all drug doses, indications, and > contraindications should be confirmed in the package insert. FULL DISCLAIMER > > > Raynaud Syndrome excerpt > > © Copyright 2002, eMedicine.com, Inc. > > About Us | Privacy | Code of Ethics | Contact Us | Advertise | > Institutional Subscribers > >> If you do not wish to belong to shydrager, you may >> unsubscribe by sending a blank email to >> >> shydrager-unsubscribe >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 I have been reading this thread and need to pose a question. Now that I have conclusive proof that what I have is not PD or MSA, as I sit here with hands like ice, the problems that I have with poor temperature regulation are still here. Cold when others are hot, hot when others are cold, not sweating properly, purple feet and hands... can be running a temperature and still have icy cold hands and feet. At other times, my hands feel like I put them in the oven and are so hot they are uncomfortable. Does anyone know what system controls this and any ideas as to why this is still a problem for me? Hugs and Warm Fuzzies, Deborah aka Tenacity Personal website & photo's http://www.pdhangout.com http://community.webshots.com/user/tenacitywins _________________________________________________________________ Protect your PC - get McAfee.com VirusScan Online http://clinic.mcafee.com/clinic/ibuy/campaign.asp?cid=3963 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 I have been reading this thread and need to pose a question. Now that I have conclusive proof that what I have is not PD or MSA, as I sit here with hands like ice, the problems that I have with poor temperature regulation are still here. Cold when others are hot, hot when others are cold, not sweating properly, purple feet and hands... can be running a temperature and still have icy cold hands and feet. At other times, my hands feel like I put them in the oven and are so hot they are uncomfortable. Does anyone know what system controls this and any ideas as to why this is still a problem for me? Hugs and Warm Fuzzies, Deborah aka Tenacity Personal website & photo's http://www.pdhangout.com http://community.webshots.com/user/tenacitywins _________________________________________________________________ Protect your PC - get McAfee.com VirusScan Online http://clinic.mcafee.com/clinic/ibuy/campaign.asp?cid=3963 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 Deborah, As someone said yeaterday, that could be either poor circulation OR autonomic failure. In all of your doctors' visits have they tested you for circulation problems? I hope someone would have tested you (hot box) for autonomic problems. Not sweating properly is a sign of autonomic problems, but purple hands and feet could be a sign of circulation problems. You need to write down all of your problems when they occur and take that log to your doctor to help them understand what is going on. I do not know exactly what the PET shows and does not show, but pure autonomic failure resembles MSA, but usually does not have severe movement problems in early stages. I do not remember why they thought you had PD, but usually PD has movement problems early on. MSA can have movement problems first or last, (usually early) it is a weird disorder. I hope you have some warm fuzzy slippers and mittens for this winter, looks like a cold one Charlotte did have problems like that also with the hot or cold extremeties. Some of hers (not all) was helped by hormones as she was also going through that problem also. At times her neck and ears would also turn beet red or be cold. Men have also complained however, so it can not all be blamed on that. When she was cold, we used a heating pad or the buckwheat seed microwave pad to help. When she was hot, we used cold compresses. Take care, Bill Werre ============================================================= Deborah Setzer wrote: >I have been reading this thread and need to pose a question. Now that I >have conclusive proof that what I have is not PD or MSA, as I sit here with >hands like ice, the problems that I have with poor temperature regulation >are still here. Cold when others are hot, hot when others are cold, not >sweating properly, purple feet and hands... can be running a temperature and >still have icy cold hands and feet. At other times, my hands feel like I >put them in the oven and are so hot they are uncomfortable. Does anyone >know what system controls this and any ideas as to why this is still a >problem for me? > >Hugs and Warm Fuzzies, >Deborah aka Tenacity > >Personal website & photo's >http://www.pdhangout.com >http://community.webshots.com/user/tenacitywins > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 Deborah, As someone said yeaterday, that could be either poor circulation OR autonomic failure. In all of your doctors' visits have they tested you for circulation problems? I hope someone would have tested you (hot box) for autonomic problems. Not sweating properly is a sign of autonomic problems, but purple hands and feet could be a sign of circulation problems. You need to write down all of your problems when they occur and take that log to your doctor to help them understand what is going on. I do not know exactly what the PET shows and does not show, but pure autonomic failure resembles MSA, but usually does not have severe movement problems in early stages. I do not remember why they thought you had PD, but usually PD has movement problems early on. MSA can have movement problems first or last, (usually early) it is a weird disorder. I hope you have some warm fuzzy slippers and mittens for this winter, looks like a cold one Charlotte did have problems like that also with the hot or cold extremeties. Some of hers (not all) was helped by hormones as she was also going through that problem also. At times her neck and ears would also turn beet red or be cold. Men have also complained however, so it can not all be blamed on that. When she was cold, we used a heating pad or the buckwheat seed microwave pad to help. When she was hot, we used cold compresses. Take care, Bill Werre ============================================================= Deborah Setzer wrote: >I have been reading this thread and need to pose a question. Now that I >have conclusive proof that what I have is not PD or MSA, as I sit here with >hands like ice, the problems that I have with poor temperature regulation >are still here. Cold when others are hot, hot when others are cold, not >sweating properly, purple feet and hands... can be running a temperature and >still have icy cold hands and feet. At other times, my hands feel like I >put them in the oven and are so hot they are uncomfortable. Does anyone >know what system controls this and any ideas as to why this is still a >problem for me? > >Hugs and Warm Fuzzies, >Deborah aka Tenacity > >Personal website & photo's >http://www.pdhangout.com >http://community.webshots.com/user/tenacitywins > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 Bill, Thanks for you kind response. Believe it or not, I have never been tested for circulation problems in any way, shape or form. The MSA was drug-induced. Here is an article that I found on it while doing my research. It helps to explain why all of the wonderful MDS's that I saw were certain of their diagnosis. http://www.cmdg.org/Movement_/drug/Acute_Parkinsons/acute_parkinsons.htm Yep, I have 2 buckwheat pillows... could not have lived w/o them over the summer with the heat... wonderful at cooling a person down. Yep, I have fuzzy slippers but they have almost been worn to shreds with all the hospitalizations... need some new one's... maybe a Christmas present from ... hint... hint...LOL. I was once asked if I had been Dx with Raynaud's syndrome but there was so many other things going wrong with my body that this one wasn't really on the tops of the MDS's list for checking. I guess it is poor circulation.... had this most of my life.... only in the past 3 years has it become problematic... oh well, considering the hell that I have lived through... it is a small issue... just glad to be on the other side now and recovering so quickly. Hugs and Warm Fuzzies, Deborah aka Tenacity Personal website & photo's http://www.pdhangout.com http://community.webshots.com/user/tenacitywins _________________________________________________________________ STOP MORE SPAM with the new MSN 8 and get 2 months FREE* http://join.msn.com/?page=features/junkmail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 Bill, Thanks for you kind response. Believe it or not, I have never been tested for circulation problems in any way, shape or form. The MSA was drug-induced. Here is an article that I found on it while doing my research. It helps to explain why all of the wonderful MDS's that I saw were certain of their diagnosis. http://www.cmdg.org/Movement_/drug/Acute_Parkinsons/acute_parkinsons.htm Yep, I have 2 buckwheat pillows... could not have lived w/o them over the summer with the heat... wonderful at cooling a person down. Yep, I have fuzzy slippers but they have almost been worn to shreds with all the hospitalizations... need some new one's... maybe a Christmas present from ... hint... hint...LOL. I was once asked if I had been Dx with Raynaud's syndrome but there was so many other things going wrong with my body that this one wasn't really on the tops of the MDS's list for checking. I guess it is poor circulation.... had this most of my life.... only in the past 3 years has it become problematic... oh well, considering the hell that I have lived through... it is a small issue... just glad to be on the other side now and recovering so quickly. Hugs and Warm Fuzzies, Deborah aka Tenacity Personal website & photo's http://www.pdhangout.com http://community.webshots.com/user/tenacitywins _________________________________________________________________ STOP MORE SPAM with the new MSN 8 and get 2 months FREE* http://join.msn.com/?page=features/junkmail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 My husband had cold hands and feet and was diagnosed with Raynaud's disease two years before his MSA diagnosis. He was prescribed the drug Adalat. Keeping the hands and feet warm in the winter months is important. He wore wool gloves and socks when going outdoors. Donna Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 My husband had cold hands and feet and was diagnosed with Raynaud's disease two years before his MSA diagnosis. He was prescribed the drug Adalat. Keeping the hands and feet warm in the winter months is important. He wore wool gloves and socks when going outdoors. Donna Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 I get the cold hands and feet. In fact people complain about my hands and feet being 'freezing cold ' more than me. I pump my hands and rotate my feet. Anything to help the blood flow and not pool so much. nancy m. Werre wrote: > > Deborah, > > As someone said yeaterday, that could be either poor circulation OR > autonomic failure. In all of your doctors' visits have they tested you > for circulation problems? I hope someone would have tested you (hot > box) for autonomic problems. Not sweating properly is a sign of > autonomic problems, but purple hands and feet could be a sign of > circulation problems. You need to write down all of your problems when > they occur and take that log to your doctor to help them understand what > is going on. > > I do not know exactly what the PET shows and does not show, but pure > autonomic failure resembles MSA, but usually does not have severe > movement problems in early stages. I do not remember why they thought > you had PD, but usually PD has movement problems early on. MSA can have > movement problems first or last, (usually early) it is a weird disorder. > I hope you have some warm fuzzy slippers and mittens for this winter, > looks like a cold one > > Charlotte did have problems like that also with the hot or cold > extremeties. Some of hers (not all) was helped by hormones as she was > also going through that problem also. At times her neck and ears would > also turn beet red or be cold. Men have also complained however, so it > can not all be blamed on that. When she was cold, we used a heating pad > or the buckwheat seed microwave pad to help. When she was hot, we used > cold compresses. > > Take care, Bill Werre > > ============================================================= > > Deborah Setzer wrote: > > >I have been reading this thread and need to pose a question. Now that I > >have conclusive proof that what I have is not PD or MSA, as I sit here with > >hands like ice, the problems that I have with poor temperature regulation > >are still here. Cold when others are hot, hot when others are cold, not > >sweating properly, purple feet and hands... can be running a temperature and > >still have icy cold hands and feet. At other times, my hands feel like I > >put them in the oven and are so hot they are uncomfortable. Does anyone > >know what system controls this and any ideas as to why this is still a > >problem for me? > > > >Hugs and Warm Fuzzies, > >Deborah aka Tenacity > > > >Personal website & photo's > >http://www.pdhangout.com > >http://community.webshots.com/user/tenacitywins > > > > > > If you do not wish to belong to shydrager, you may > unsubscribe by sending a blank email to > > shydrager-unsubscribe > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 I get the cold hands and feet. In fact people complain about my hands and feet being 'freezing cold ' more than me. I pump my hands and rotate my feet. Anything to help the blood flow and not pool so much. nancy m. Werre wrote: > > Deborah, > > As someone said yeaterday, that could be either poor circulation OR > autonomic failure. In all of your doctors' visits have they tested you > for circulation problems? I hope someone would have tested you (hot > box) for autonomic problems. Not sweating properly is a sign of > autonomic problems, but purple hands and feet could be a sign of > circulation problems. You need to write down all of your problems when > they occur and take that log to your doctor to help them understand what > is going on. > > I do not know exactly what the PET shows and does not show, but pure > autonomic failure resembles MSA, but usually does not have severe > movement problems in early stages. I do not remember why they thought > you had PD, but usually PD has movement problems early on. MSA can have > movement problems first or last, (usually early) it is a weird disorder. > I hope you have some warm fuzzy slippers and mittens for this winter, > looks like a cold one > > Charlotte did have problems like that also with the hot or cold > extremeties. Some of hers (not all) was helped by hormones as she was > also going through that problem also. At times her neck and ears would > also turn beet red or be cold. Men have also complained however, so it > can not all be blamed on that. When she was cold, we used a heating pad > or the buckwheat seed microwave pad to help. When she was hot, we used > cold compresses. > > Take care, Bill Werre > > ============================================================= > > Deborah Setzer wrote: > > >I have been reading this thread and need to pose a question. Now that I > >have conclusive proof that what I have is not PD or MSA, as I sit here with > >hands like ice, the problems that I have with poor temperature regulation > >are still here. Cold when others are hot, hot when others are cold, not > >sweating properly, purple feet and hands... can be running a temperature and > >still have icy cold hands and feet. At other times, my hands feel like I > >put them in the oven and are so hot they are uncomfortable. Does anyone > >know what system controls this and any ideas as to why this is still a > >problem for me? > > > >Hugs and Warm Fuzzies, > >Deborah aka Tenacity > > > >Personal website & photo's > >http://www.pdhangout.com > >http://community.webshots.com/user/tenacitywins > > > > > > If you do not wish to belong to shydrager, you may > unsubscribe by sending a blank email to > > shydrager-unsubscribe > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 When did this start? Pose this this on the NDRF site too. nancy m. Deborah Setzer wrote: > > I have been reading this thread and need to pose a question. Now that I > have conclusive proof that what I have is not PD or MSA, as I sit here with > hands like ice, the problems that I have with poor temperature regulation > are still here. Cold when others are hot, hot when others are cold, not > sweating properly, purple feet and hands... can be running a temperature and > still have icy cold hands and feet. At other times, my hands feel like I > put them in the oven and are so hot they are uncomfortable. Does anyone > know what system controls this and any ideas as to why this is still a > problem for me? > > Hugs and Warm Fuzzies, > Deborah aka Tenacity > > Personal website & photo's > http://www.pdhangout.com > http://community.webshots.com/user/tenacitywins > > _________________________________________________________________ > Protect your PC - get McAfee.com VirusScan Online > http://clinic.mcafee.com/clinic/ibuy/campaign.asp?cid=3963 > > If you do not wish to belong to shydrager, you may > unsubscribe by sending a blank email to > > shydrager-unsubscribe > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2002 Report Share Posted November 6, 2002 When did this start? Pose this this on the NDRF site too. nancy m. Deborah Setzer wrote: > > I have been reading this thread and need to pose a question. Now that I > have conclusive proof that what I have is not PD or MSA, as I sit here with > hands like ice, the problems that I have with poor temperature regulation > are still here. Cold when others are hot, hot when others are cold, not > sweating properly, purple feet and hands... can be running a temperature and > still have icy cold hands and feet. At other times, my hands feel like I > put them in the oven and are so hot they are uncomfortable. Does anyone > know what system controls this and any ideas as to why this is still a > problem for me? > > Hugs and Warm Fuzzies, > Deborah aka Tenacity > > Personal website & photo's > http://www.pdhangout.com > http://community.webshots.com/user/tenacitywins > > _________________________________________________________________ > Protect your PC - get McAfee.com VirusScan Online > http://clinic.mcafee.com/clinic/ibuy/campaign.asp?cid=3963 > > If you do not wish to belong to shydrager, you may > unsubscribe by sending a blank email to > > shydrager-unsubscribe > > > > Quote Link to comment Share on other sites More sharing options...
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