Multidisciplinary Care for Raynaud’s Disease

The BIDMC Raynaud’s Center brings together experts in Vascular Medicine, Rheumatology, Pulmonary Hypertension, and Hand Surgery to provide coordinated care for patients with Raynaud’s phenomenon and associated syndromes in both the outpatient setting and in the hospital.


Diagnosing Raynaud’s

BIDMC Jennifer Nashel MD seeing a patient

Raynaud's phenomenon, also called Raynaud’s disease, is an amplified response of blood vessels in the fingers and toes often in response to cold and stress.  It can cause skin to turn white and blue and be accompanied by pain and tingling or throbbing sensations. Primary Raynaud's is an isolated issue most common in young women with typical onset before age 35. In contrast, secondary Raynaud’s phenomenon occurs in the setting of an underlying connective tissue disease like lupus or scleroderma or may be caused by medication or injury. Severe cases of secondary Raynaud’s phenomenon can result in tissue damage. Additionally, there are conditions like pernio/chilblains, acrocyanosis, and other processes that can decrease blood flow to the hand which can cause similar symptoms.

Treating Raynaud’s

Patients at the Raynaud’s Center will undergo a thorough evaluation including a detailed exam and may including blood testing and advanced imaging as appropriate. A treatment plan will include advice on cold avoidance strategies and may include medications to dilate the blood vessels. In severe cases, surgery or injections may be recommended.

Call us at 617-667-8800 or email us to schedule an appointment for evaluation or treatment.

 

Meet Our Team

Brett Carroll, MD

Brett Carroll, MD

Director, Vascular Medicine; Cardiology; Co-Director, Raynaud’s Center

Jennifer M. Nashel, MD

Jennifer M. Nashel, MD

Rheumatology; Co-Director, Raynaud’s Center

Cyrus Kholdani, MD

Pulmonary Disease

Arriyan Samandar Dowlatshahi, MD

Orthopaedic Surgery; Plastic and Reconstructive Surgery

Dr. Schmaier

Alec A. Schmaier, MD, PhD

Cardiology; Vascular Medicine

Eric Secemsky, MD

Eric A. Secemsky, MD

Director, Vascular Intervention, Interventional Cardiology