For part people, extreme cold or emotionally or physical tension can conveniently turn their generally flesh-colored fingers and toes white and/or blue – periodically leading to very painful digits.

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The discoloration and also pain is frequently caused by a condition called Raynaud’s disease or Raynaud’s phenomenon. For many, the is mild and can be addressed with straightforward lifestyle changes, such together wearing gloves and also warm socks or slippers during the winter months. For others, though, the discoloration and pain have the right to be long-lasting, sometimes also resulting in sores and also the can be fried loss of parts of fingers and also toes.

“Patients with serious or secondary Raynaud’s can experience significant pain and also develop sores or ulcers top top the advice of the fingers and toes the don’t heal,” states Dr. Paul Dellaripa. “These patients need to be watched by a clinician who is expert with regulating patients with significant Raynaud’s, together they space at the highest risk of losing digits because of infection or gangrene.”


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For part people, excessive cold or emotionally or physical anxiety can quickly turn their usually flesh-colored fingers and also toes white and/or blue – sometimes leading to very painful digits.

Raynaud’s phenomenon is characterized by vasospasm – a suddenly constriction the blood vessels the severely reduces blood flow to the fingers and also toes. The problem is most frequently provoked through exposure come cold, but likewise can be motivated by emotional or physics stress. Smoking also is a risk factor for the condition. Raynaud’s phenomenon deserve to exist together an isolated condition (known as main Raynaud’s disease), which is seen much more frequently in women and people that live in chillier climates. It likewise occurs in men and women who have autoimmune or connective organization diseases, as well as other diseases. This is recognized as an additional Raynaud’s.

Dr. Dellaripa is component of a multidisciplinary team in the Raynaud’s an illness Clinic, which contains experts in vascular medicine, rheumatology, pulmonology, and also plastic surgery. The team offers innovative and comprehensive care come patients through Raynaud’s disease, who often have other problems that do them much more susceptible come Raynaud’s and who are most likely to benefit from a collaborative strategy to care.

“We job-related together to shot various approaches, including various medications which deserve to be offered orally or applied locally to the impacted areas,” claims Dr. Aaron Waxman. “We also participate in clinical trials through novel agents to improve symptoms, especially for patients that haven’t comment to ahead therapy.”


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Paul F. Dellaripa, MD

Paul F. Dellaripa, MD, is a rheumatologist in the division of Rheumatology, Allergy, and also Immunology at Brigham and Women’s Hospital and Associate Professor of medicine at Harvard medical School.


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Aaron B. Waxman, MD, PhD

Aaron B. Waxman, MD, PhD, is a pulmonologist in the department of Pulmonary and vital Care medication at Brigham and Women’s Hospital and also Associate Professor of medicine at Harvard medical School.

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