RT Book, Section A1 Sule, Sangeeta D. A1 Wigley, Fredrick M. A2 Imboden, John B. A2 Hellmann, David B. A2 Stone, John H. SR Print(0) ID 57272510 T1 Chapter 24. Raynaud Phenomenon T2 CURRENT Diagnosis & Treatment: Rheumatology, 3e YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-163805-0 LK accessmedicine.mhmedical.com/content.aspx?aid=57272510 RD 2024/04/16 AB Raynaud phenomenon (RP), a vasospastic reaction to cold temperatures or emotional stress, leads to sharply demarcated color changes of the skin.Classified clinically into primary or secondary forms.Primary RP is idiopathic and is associated with no identifiable abnormalities in blood vessel architecture.Secondary RP patients may have complications of digital tissue ischemia, including recurrent digital ulcerations, rapid deep tissue necrosis, and amputation.Avoidance of cold temperatures is critical in the management of RP. The entire body must be kept comfortably warm.Medications are indicated if there are signs of critical tissue ischemia (eg, digital ulcers) or if quality of life is restricted.