Health Promotion and Maintenance Q 49

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A patient who has been diagnosed with the vasospastic disorder (Raynaud’s disease) complains of cold and stiffness in the fingers. Which of the following descriptions is most likely to fit the patient?

  

     A. An adolescent male

     B. An elderly woman

     C. A young woman

     D. An elderly man

    

    

Correct Answer: C. young woman.

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Raynaud’s disease is most common in young women and is frequently associated with rheumatologic disorders, such as lupus and rheumatoid arthritis. Vasospasm of the arteries reduces blood flow to the fingers and toes. In people who have Raynaud’s, the disorder usually affects the fingers. In about 40 percent of people who have Raynaud’s, it affects the toes. Rarely, the disorder affects the nose, ears, nipples, and lips.

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Option A: Primary Raynaud’s usually develops before the age of 30. In primary Raynaud’s (also called Raynaud’s disease), the cause isn’t known. Primary Raynaud’s are more common and tend to be less severe than secondary Raynaud’s.

Option B: Secondary Raynaud’s usually develops after the age of 30. Secondary Raynaud’s is caused by an underlying disease, condition, or other factors. This type of Raynaud’s is often called Raynaud’s phenomenon.

Option D: Although anyone can develop the condition, Raynaud’s disease often begins between the ages 15 to 30, but it mostly affects women. If one has primary or secondary Raynaud’s, cold temperatures or stress can trigger “Raynaud’s attacks.” During an attack, little or no blood flows to affected body parts.

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