Format

Send to

Choose Destination
Lancet. 2001 Jun 23;357(9273):2042-8.

Raynaud's phenomenon.

Author information

1
Section of Rheumatology, Rush Medical College, Rush-Presbyterian-St Luke's Medical Center, 1725 West Harrison Street, Chicago, IL 60612, USA. jblock@rush.edu

Abstract

Raynaud's phenomenon is characterised by episodic vasospasm of the fingers and toes typically precipitated by exposure to cold. Mild Raynaud's is common and is not usually a harbinger of clinically important disability; its onset, however, can be startling and uncomfortable for patients, and the well recognised association in some cases with systemic rheumatic conditions often precipitates aggressive assessments for underlying diseases. Advances in vascular physiology have shed light on the role of the endothelium as well as endothelium-independent mechanisms in the altered vasoregulation of Raynaud's. We review clinical aspects of the disorder and new insights with respect to pathophysiology, and we discuss potential new therapeutics based on the disease mechanism, such as prostacyclin analogues, serotonin antagonists, and calcitonin gene-related peptides.

PMID:
11438158
DOI:
10.1016/S0140-6736(00)05118-7
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center