Talk:Raynaud's phenomenon

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I would like correct pronunciation of Raynaud -- Is it pronounced ray - nawd or ray-no? Does anyone know? I have heard it both ways and have used it both ways -- only to be corrected!

Thanks. JC

I have been told "ray-NOSE" (possessive, as in the title of the article). So "Raynaud" would probably be "ray-NO" Just my input. Baccyak4H 03:26, 24 October 2006 (UTC)

Use of Urea to relieve symptoms of Raynaud's Syndrome

I have had some type of Raynaud's Syndrome for more than 30 years and just succeeded in curing it in me. In recent years (I am 55) during winter my fingers became so white so frequently that my fingernails stopped growing and/or were reabsorbed. Thus I was bleeding all the time where the nail was supposed to be.

Somewhere I read that using a cream containing urea seemed to solve many nail problems, so two months ago I started applying a cream with 20% urea. My nails have completely grown back, and (as an example) I have just come back in from shovelling snow in -10C weather and all my fingers look normal.

Obviously this is anecdotal (or might be considered "original research") and wouldn't apply to everyone with this condition, which must have many causes. Given that would it be appropriate to add a sentence or two to the article suggesting that this might work for some sufferers?

Friar Broccoli 20:37, 20 January 2007 (UTC) .................................................................

i think that the calcium channel blockers(nifidepine) and the angiotensine 2 receptor blockers(losartan) arenot the only suitable therapeutic ttt for raynaud`s disease but also we can use an alpha receptor blockers . and due to the side effects of a nonselective alpha blocker (phenoxypenzamine,phentolamine) which will produce an indirect sympathetic stimulation.we can use a selective alpha one blocker (such as prazosin). all i wanna ask about is what is the other name of raynaud`s syndrome(in latine)? thx alot

Contents

[edit] Pronunciation/Treatment

I've been diagnosed with Raynaud's Phenomenon for a few years, so I have some input. It's pronounced ray-NAWD not ray-NOSE. And it is commonly treated with Celebrex which stops some of the swelling, and also with a calcium channel blocker such as Plendil. And Friar Broccolli, are you sure the fingernail issue is entirely the Raynaud's? I've never had that problem, although that is not a definite reason. I'm just curious, because it sounds like you could have one of the associated issues like rheumatoid arthritis which tends to cause problems like that. If you could let me know I'd be curious- if only to prevent it on myself (I know it sound selfish). Thanks. ~Daisytoes

[edit] Primary verse Secondary

As of today Wikipedia states:

"Unilateral Raynaud's, or that which is present only in the hands or feet, is almost certainly secondary, as primary Raynaud's is a systemic condition. However, a patient's feet may be affected without their realising."

In my readings, I have found that primary Raynauds means no other cause have been found for the Raynaud's. Whereas secondary Ryanaud's happens due to another disease. I also have been diagnosed with primary Raynaud (meaning I have no other cause for the Raynaud's) and it only occurs on my hands and feet, so I'm having a hard time understanding and believing the above sentence. I don't want to change or delete the above sentence from Wikipedia because I'm not a doctor, but I feel it gives false information.
Thank you.
Kathy 00:57, 10 April 2007 (UTC)

K may essentially be objecting to ambiguous wording:
"Only in the hands or feet"
has two possible constructions:
  1. "either only in the hands, or only in the feet"
  2. "nowhere else but in the hands and/or feet")
(where #2 is not an absurd construction, since ears and/or nose also may be affected).
Likewise,
"Unilateral Raynaud's, or ..."
could be construed as
"Unilateral Raynaud's, which is to say, ..."
(which is a tempting but wrong construction, since "unilateral" means "on one side only"; it cannot mean "either only in the hands, or only in the feet", nor can it mean "nowhere else but in the hands and/or feet").
If i understand what she is saying, i think she would find her information consistent with this rewording:
Primary Raynaud's is a systemic condition. Thus it is almost never present when the symptoms are unilateral (i.e. only on the left side, or only on the right), nor when they affect only the feet, nor when they affect only the hands. (However, a patient's report of hands-only symptoms may be mistaken, since feet are not only likely to be kept warmer, but also observing their color changes usually takes much more effort.) So an accurate report of Raynaud's symptoms in fewer than both hands and both feet almost certainly implies secondary Raynaud's.
--Jerzy•t 07:25, 30 January 2008 (UTC)

Another perhaps problematical wording in this context is, IMO, inviting too straightforward a construction of idiopathic. My dr. was not satisfied to rule out secondary for me by running down a checklist of symptoms that i lack. Rather, he asserted that i had no reason to expect any of those symptoms to emerge in the future, and that this was bcz my memory of the (until now undiagnosed) bilateral symptoms in hands and feet goes back enough years that if my Raynaud's were secondary, some more frightening symptoms should have emerged already.
(And while this is my own sheer speculation, i conjecture -- after some further reading -- that he also weighed my age, and the consequent likelihood that i'd remember symptoms from another decade or two earlier, if i hadn't been such a late bloomer in winter hiking and mountaineering. If i know him, he might well have preferred to rely on what he did say to reassure me, rather than complicating the discussion by piling on further evidence.)
--Jerzy•t 07:25, 30 January 2008 (UTC)

[edit] Category:Autoimmune diseases

I've added this article to the category above (which is the category for all articles related to autoimmunity), as Raynaud's phenomenon is caused mainly by a variety of Autoimmune diseases, as is also explained the article. --Cpt. Morgan (Reinoutr) 15:12, 4 May 2007 (UTC)

[edit] Marijuana...

Does smoking marijuana cause this to "phenomenon" to occur?

[edit] Pronunciation

The name RAYNAUD is a French name and therefore "the most correct" pronounciation is the French one, which would be RAY-NO and certainly not RAY-NAWD. Consequently RAYNAUD'S phenomenon should be pronounced as RAY-NO's (or RAY-NOSE). Americans who tend to disagree, please remember that where americans pronounce PARIS as PERR-IS, French people pronounce it as PAH-REEH. Another nice example for illustration is the city of NICE which in France is pronounced as KNEE-S rather than NAI-S as in "nice try". Hope you all trust this french speaking European guy in this. —Preceding unsigned comment added by 62.131.10.158 (talk) 19:02, 18 January 2008 (UTC)

Thanks for the thought, but French pronunciation of French names is just an interesting sidelight, since the pronunciations in these English-language articles are supposed to reflect English-language usage, and regarding the conditions, not the people. It would be more important to know if the British pronunciation is influenced more by proximity to France, and what other varieties of English show. (Oh, and sorry if you really met a yank ignoramus who didn't know how to pronounce the city. But the last time i heard that was from my own mouth, when i was in grade school. So more than likely, tho, you were hearing a belligerent yank, who thot they were cleverly insulting you with an intentional mispronunciation. Sorry about that, too.)
--Jerzy•t 05:49, 30 January 2008 (UTC)

[edit] correct pronunciation

Hello JC. The correct pronunciation in French is ray-no. The "aud" ending is pronounced "o" & the "d" is silent. The anglo pronunciation of this french word by most anglo speaking people is probaby ray-nose, keeping the french "o" ending & adding an apostrophe "s". But who knows some anglos might even pronounce the d also, e.g., ray-nodes. Formerly 100% fluent in french. Ft Lauderdale, FL —Preceding unsigned comment added by 72.144.63.232 (talk) 16:24, 24 March 2008 (UTC)


Hey, I just had to update the cause of the disease, because in my studies it has been clearly indicated as a vascular disorder marked by vascular insufficiency in the distal parts of the extremities. In my opinion much is missing in regards to this topic. To refer to what was said here earlier. There are 2 forms of raynauds phenomenon, primary and secondary. Primary is idiopathic, meaning a precise known cause is unknown (in regards to why vasospasms occur) , as is with many other primary disorders such as primary interstitial pulmonary fibrosis. Secondary raynauds phenomenon however is associated with autoimmune disease. It may present with scleroderma, but may also be present in systemis lupus erthymatous diseass as well as others. An overall clarification of raynauds and a more thorough article is in order in my opinion. —Preceding unsigned comment added by AriaNo11 (talk • contribs) 12:04, 8 June 2008 (UTC)