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Role of cold and emotional stress in Raynaud's disease and scleroderma.
Br Med J (Clin Res Ed). 1983 Nov 19; 287(6404):1499-502.BM

Abstract

Research on the aetiology of Raynaud's disease and phenomenon has been hindered by the difficulty of provoking attacks in the laboratory. A study was therefore conducted in which digital and ambient temperatures, electrocardiograms, and stress ratings were obtained during ambulatory monitoring in patients with idiopathic Raynaud's disease, Raynaud's phenomenon secondary to scleroderma, and in normal subjects. In Raynaud's disease about one third of the vasospastic attacks were associated with tachycardia and increased stress ratings without declines in ambient temperature. In contrast, cold alone was enough to provoke most attacks of Raynaud's phenomenon in scleroderma. Chronically increased stress ratings in patients with scleroderma and increased muscle tension in anticipation of a cold stimulus suggest that these patients have different patterns of stress responses from those with Raynaud's disease.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

6416474

Citation

Freedman, R R., and P Ianni. "Role of Cold and Emotional Stress in Raynaud's Disease and Scleroderma." British Medical Journal (Clinical Research Ed.), vol. 287, no. 6404, 1983, pp. 1499-502.
Freedman RR, Ianni P. Role of cold and emotional stress in Raynaud's disease and scleroderma. Br Med J (Clin Res Ed). 1983;287(6404):1499-502.
Freedman, R. R., & Ianni, P. (1983). Role of cold and emotional stress in Raynaud's disease and scleroderma. British Medical Journal (Clinical Research Ed.), 287(6404), 1499-502.
Freedman RR, Ianni P. Role of Cold and Emotional Stress in Raynaud's Disease and Scleroderma. Br Med J (Clin Res Ed). 1983 Nov 19;287(6404):1499-502. PubMed PMID: 6416474.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Role of cold and emotional stress in Raynaud's disease and scleroderma. AU - Freedman,R R, AU - Ianni,P, PY - 1983/11/19/pubmed PY - 1983/11/19/medline PY - 1983/11/19/entrez SP - 1499 EP - 502 JF - British medical journal (Clinical research ed.) JO - Br Med J (Clin Res Ed) VL - 287 IS - 6404 N2 - Research on the aetiology of Raynaud's disease and phenomenon has been hindered by the difficulty of provoking attacks in the laboratory. A study was therefore conducted in which digital and ambient temperatures, electrocardiograms, and stress ratings were obtained during ambulatory monitoring in patients with idiopathic Raynaud's disease, Raynaud's phenomenon secondary to scleroderma, and in normal subjects. In Raynaud's disease about one third of the vasospastic attacks were associated with tachycardia and increased stress ratings without declines in ambient temperature. In contrast, cold alone was enough to provoke most attacks of Raynaud's phenomenon in scleroderma. Chronically increased stress ratings in patients with scleroderma and increased muscle tension in anticipation of a cold stimulus suggest that these patients have different patterns of stress responses from those with Raynaud's disease. SN - 0267-0623 UR - https://www.unboundmedicine.com/medline/citation/6416474/Role_of_cold_and_emotional_stress_in_Raynaud's_disease_and_scleroderma_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/6416474/ DB - PRIME DP - Unbound Medicine ER -