The Mechanism and Treatment of Raynaud's Disease: A Psychosomatic Disturbance

Article1 February 1944THE MECHANISM AND TREATMENT OF RAYNAUD'S DISEASE: A PSYCHOSOMATIC DISTURBANCEISIDOR MUFSON, M.D., F.A.C.P.ISIDOR MUFSON, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-20-2-228 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Excerpt"The microcosm of the somatic manifestations of Raynaud's disease is related to the macrocosm of personality and social-economic derangements."The treatment of Raynaud's disease has been mainly directed to the use of ephemeral vasodilators or the surgical interruption of the sympathetic pathways. As therapeutic maneuvers they may be successful or at times inadequate for complete cure. Explanations for the failure of surgery have been based on flaws in operative technic12, 10or on the creation of a new and abnormal physiology.1The rationale for their use has been based on two current conceptions of the mechanism of Raynaud's disease. One...Bibliography1. ENGEL D: The influence of the sympathetic nervous system on capillary permeability, Jr. Physiol., 1941, xcix, 161. CrossrefGoogle Scholar2. HYNDMANWOLKIN ORJ: Raynaud's disease, Am. Heart Jr., 1942, xxiii, 535. CrossrefGoogle Scholar3. LANDIS EM: Micro-injection studies of capillary blood pressure in Raynaud's disease, Heart, 1930, xv, 247. Google Scholar4. LEWIS T: Vascular disorders of the limbs, 1936, Macmillan Co. New York. Google Scholar5. LEWIS T: Raynaud's disease and preganglionic sympathectomy, Clin. Sci., 1938, iii, 321. Google Scholar6. MITTLEMANWOLFF BHG: Affective states and skin temperature, Psychosomatic Med., 1939, i, 271. CrossrefGoogle Scholar7. MUFSON I: A study of the capillary pressure in nephritis and hypertension, Am. Jr. Med. Sci., 1932, clxxxiii, 632. CrossrefGoogle Scholar8. MULINOSSHULMANMUFSON MGII: On the treatment of Raynaud's disease with papaverine intravenously, Am. Jr. Med. Sci., 1939, cxcvii, 793. CrossrefGoogle Scholar9. RAYNAUD M: Local asphyxia and symmetrical gangrene of the extremities, selected monographs, 1888, New Sydenham Society, London. Google Scholar10. SIMONSDONAL HTS: The causes of relapse following sympathectomy of the arm, Brit. Jr. Surg., 1939, xxvii, 234. CrossrefGoogle Scholar11. SIMPSONBROWNADSON SLGEAW: Raynaud's disease. Evidence that it is a type of vasomotor neurosis, Arch. Neurol. and Psychiat., 1931, xxvi, 687. CrossrefGoogle Scholar12. WHITESMITHWICK JCR: Autonomic nervous system, 2nd Edition, 1941, Macmillan Co., New York. Google Scholar13. WRIGHT IS: Diagnosis and treatment of cardiovascular diseases, Chapter LIX, 1940, F. A. Davis, New York. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication September 15, 1942.From the Department of Medicine, College of Physicians and Surgeons, Columbia University and the Presbyterian Hospital. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBiofeedback and Raynaud’s DiathesisBehavioral and Psychophysiological Aspects of Raynaud’s DiseaseRaynaud's Disease, Raynaud's Phenomenon, and SerotoninAN ETIOLOGY OF SCLERODERMA*ISIDOR MUFSON, M.D., F.A.C.P.RESPONSES OF THE ABNORMAL ARTERIAL CIRCULATION TO VARIOUS STIMULI, AS STUDIED BY THE USE OF RADIOACTIVE SODIUM. II. INTRAARTERIAL HISTAMINE, PAPAVERINE, AMINOPHYLLINE AND ADRENALINE; SYMPATHECTOMY AND ETAMON; PAIN*ISIDOR MUFSON, M.D., F.A.C.P.Untersuchungen und Ergebnisse zur Physiologie des sympathektomierten ArmesThe Somatic Manifestations of Schizophrenia 1 February 1944Volume 20, Issue 2Page: 228-238KeywordsHospital medicineHydrochloric acidSurgeonsSurgeryVasodilators ePublished: 1 December 2008 Issue Published: 1 February 1944 PDF downloadLoading ...