Overview & Description
This test looks for reduced blood flow in the fingers after they are exposed to cold temperatures.
Who is a candidate for the test?
A cold stimulation test may be advised when a healthcare provider suspects Raynaud phenomenon. This condition causes the small arteries of the fingers, toes, ears, or nose to go into spasm. The spasm causes changes in skin color. Feelings of numbness and pain also often occur. Cold temperatures or emotional stress can bring on symptoms of Raynaud phenomenon. When this condition lasts for 2 years or more and an underlying cause cannot be found, it is called Raynaud disease. The cold stimulation test is used to see if a person's symptoms are from Raynaud phenomenon or other causes of low blood flow, such as atherosclerosis.How is the test performed?
A heat sensor is attached to the person's fingers to measure their normal temperature. Then, each finger is chilled with cold water or some other device. The fingers are removed from the cold after a short period of time. The skin temperature of the fingers is measured every 5 minutes until it returns to normal.Preparation & Expectations
What is involved in preparation for the test?
No special preparation is needed for this test.Results and Values
What do the test results mean?
Normally, cold causes little decrease in blood flow to the fingers. Skin temperature generally returns to normal within 15 minutes. Raynaud phenomenon may be present if it takes more than 20 minutes for the fingers to return to normal temperature.Attribution
Author:Stephanie Slon, BA
Date Written:
Editor:Crist, Gayle P., MS, BA
Edit Date:06/09/02
Reviewer:Adam Brochert, MD
Date Reviewed:05/07/01
Anderson, Kenneth N. and Lois E. Anderson, Mosby's Pocket Dictionary of Medicine, Nursing, & Allied Health, Second Edition, Mosby, 1994.
Farrington, Nancy K. and Paul g. Sutej, "Cold Extemities: Investigation and Management of Raynaud's Phenomenon," Journal of Southern Orthopaedic Association, Spring, 1996.
Date Written:
Editor:Crist, Gayle P., MS, BA
Edit Date:06/09/02
Reviewer:Adam Brochert, MD
Date Reviewed:05/07/01
Sources
Farrington, Nancy K. and Paul g. Sutej, "Cold Extemities: Investigation and Management of Raynaud's Phenomenon," Journal of Southern Orthopaedic Association, Spring, 1996.
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