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Raynaud's disease Introduction |
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Raynaud's disease
is characterized by vasospasm of the
small arteries in the fingers and
toes. Areas such as the nose and
tongue can also be affected. Raynaud's disease (primary) can be
initiated by cold, emotional stress,
and occupational damage. The exact
mechanism of injury is not fully
understood in Raynaud's disease.
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Raynaud's phenomenon (secondary) is
characterized the same, but is the
result of an underlying disease such
as scleroderma, rheumatoid
arthritis, and SLE. The vasospasm
results in decreased blood flow,
causing pallor and cyanosis. In
severe cases of Raynaud's
phenomenon, necrosis can occur in
the digits. Raynaud's disease
does not result in severe
complications because the vasospasm
ends when the stressor is removed. [1]
Researchers have
failed to pinpoint the
cause of Raynaud's disease
and several
hypotheses exist regarding the
disease's origin. One of the most
prominent hypotheses is that
pro-inflammatory prostaglandins and leukotrienes damage the endothelial
wall resulting in vasoconstriction. A defect in
either nitric oxide
synthesis, or metabolism is also
thought to play a role in the
development of Raynaud's disease.
Finally, damage to vessel
integrity is thought to be mediated
by free radicals and elevated homocysteine
levels.
Raynaud's disease
affects women five times as often as
men. The primary age of incidence is
between 15 and 40 years old.
Occupations such as pianists,
typists, meat cutters, and chain saw
users (vibratory tools) may be at a
greater risk for developing
Raynaud's disease. Smokers are
also at an increased risk for
developing the condition. Precipitating factors to Raynaud's
disease may include external
factors, such as cold weather and
mental stress. [2]
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Raynaud's disease Statistics
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Raynaud's
affects 5-10% of the population.
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One half of the cases
are primary Raynaud's disease, the
other half being Raynaud's
phenomenon.
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It is estimated
that 13.6 million people in the US
have Raynaud's.
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75% of the cases are
in women between the ages of 15 and
40 years old.
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It is five times
more common in women than men.
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20% of all young
women are believed to have Raynaud's
disease.
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Raynaud's disease Symptoms |
The main
symptom of Raynaud's disease
is color change in the digits. The
skin may change color from white, to
blue, and even red at times. There is
often a numbness and tingling
associated with the color change. There can be pain, but it is
unusual. Warming the
affected area usually relieve
attacks associated with this
condition, which may last from a few
minutes to hours. There is no long-term damage as a
result of these attacks in Raynaud's
disease. Although in Raynaud's
phenomenon the attacks may be long
standing and necrosis of the digits
can occur. [3]
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Learn More About
Raynaud's disease |
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