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Raynaud's phenomenon is persistent and severe vasoconstriction in the fingers and/or toes resulting in extreme pallor. The fingers turn white, sometimes blue and then red as the blood flow returns. Raynaud's disease is a condition in which fingers, toes, or other body parts turn blue or white in response to cold. Raynaud's DOES NOT cause MS. Read More. If you suspect you have Raynaud's syndrome, be sure to bring it up with your healthcare provider so you can be properly diagnosed and treated. Lose function in the affected hand or foot. Raynauds phenomenon is the name given to the clinical condition where there is acute vasospasm of small blood vessels, especially those of the fingers and toes. The researchers in July 2019 invited via email a total of 1,707 eligible participants who met the 2013 ACR/EULAR criteria for SSc, were at least 18 years of age, spoke English, French or Spanish fluently, and able to respond to questions over the internet. Follow your healthcare providers guidance on how to avoid triggers and how to manage an attack when it happens. ongoing clinical trial is exploring whether taking sildenafil, changes from its normal color to a whitish or bluish hue, a connective tissue disease such as scleroderma, cholesterol-clogged arteries (atherosclerosis). Preliminary evidence from skin biopsy suggests small-fiber neuropathy (SFN) in primary RP. 1. Raynaud's syndrome causes spasms in small blood vessels in your fingers and toes. Limit your time in air conditioning and in cold spaces (like the frozen foods aisle). Between 60% and 90% of cases of primary Raynaud syndrome occur in women aged 15 to 40. Eating correctly will also help with energy levels. Raynauds disease is a disorder in which blood vessels in your fingers and toes become engorged with blood, causing numbness, tingling, or pain. At Another Johns Hopkins Member Hospital. For most people with primary Raynauds syndrome, the outlook is positive. Your child may need special permission to avoid outdoor activities (like gym class) during the colder months. Raynaud syndrome. It may throb or tingle. What is Raynaud's Phenomenon? Wear wicking fabrics when you exercise to move sweat away from your skin. During an attack, the affected extremity first becomes white and dead looking. It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. Sometimes it can be a sign of a more serious condition. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. When the patient is exposed to a trigger such as something cold, vibration, stress, or . Keep the area well-ventilated. Tests usually aren't necessary to diagnose the condition, but they are often performed to see if you have one of the underlying diseases associated with the condition, such as lupus or other connective tissue diseases, or previous injury to your hands. Adrienne Dellwo is an experienced journalist who was diagnosed with fibromyalgia and has written extensively on the topic. Anything that stimulates the sympathetic division of the autonomic nervous system Overview of the Autonomic Nervous System The autonomic nervous system regulates certain body processes, such as blood pressure and the rate of breathing. As health care providers, it is imperative to identify those barriers to physical inactivity and promote facilitators or strategies to help patients be successful in their chronic disease journey to provide a better quality of life. Bring a jacket or sweater if you know a space will be cold. A typical episode, or attack, lasts about 15 minutes. In Raynaud's syndrome (or phenomenon, disease), blood flow to your fingers, toes, ears, or nose is restricted or interrupted. This can result in pain and numbness in your fingers or toes. Serotonin mechanisms in pain and functional syndrome: management implications in comorbid fibromyalgia, headache, and irritable bowel syndrome - case study and discussion. The procedure should relieve your symptoms for one or two years, but you may need it again in the future. Heres what to do: As with any condition, see your provider any time youre worried, frightened or have questions about how to care for yourself. People with secondary Raynauds syndrome may have more severe symptoms, including skin ulcers. Primary Raynauds disease often begins during the teenage years. The pathophysiologic factors of primary Raynaud phenomenon (RP) are unknown. I don't know anything about Accutane, however, I do have Raynaud's. The severity is different for everyone. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. The typical symptoms of mixed connective tissue disease are Raynaud syndrome Raynaud Syndrome Raynaud syndrome, a functional peripheral arterial disease, is a condition in which small arteries (arterioles), usually in the fingers or toes, narrow (constrict) more tightly than normal in. Or special receptors in the blood that control the narrowing of the blood vessels may be more sensitive. symptoms: cold hands and feet with occasional raynaud's phenomena, rls, fatigue and hr? Doctors use the term Raynaud syndrome to refer to either. Talk with your healthcare provider to learn if your condition affects your heart. Most patients with SSc struggle with Raynauds phenomenon, joint pain and contractures, skin thickening, interstitial lung disease, pulmonary arterial hypertension and gastrointestinal difficulties. Results from our study will inform a program to support physical activity that we are developing for people with scleroderma.. An ongoing clinical trial is exploring whether taking sildenafil (Viagra) can prevent attacks. Symptoms vary from person to person but may include: In rare cases, gangrene may lead to finger amputation. Raynaud's Phenomenon is a common condition in which the small blood vessels in the extremities are over-sensitive to changes in temperature. Many people have mild symptoms that they can manage through lifestyle changes. Please note the date of last review or update on all articles. This can also be accompanied by numbness, pain and the feeling of pins and needles. Cruz ES, Arora V, Bonner W, Connor C, Williams R. Vascular Diseases. Abstract. In this context, the condition is referred to as primary Raynauds phenomenon. Other causes include repetitive motions and some medications. Raynaud's (ray-NOSE) disease causes some areas of the body such as fingers and toes to feel numb and cold in response to cold temperatures or stress. Although psoriatic disease can affect the hands and feet, the symptoms are usually on the skin (psoriasis) or in the joints (PsA). Unknown. It is possible that some blood disorders may cause Raynauds by increasing the blood thickness. For these, please consult a doctor (virtually or in person). Clearly these people have unusually strong reactions to cold. Anemia can be temporary or long term, and it can range from mild to severe. Raynaud's syndrome is a condition in which a person's fingers, and sometimes toes, turn blue and/or white upon exposure to cold, and then bright red upon rewarming. This may decrease attacks of Raynauds. Skin ulcers (sores) can occur as well since low blood flow can damage your tissues and impair healing. Im Brian Danny Max, a chef and a writer at cookingtom.com. No test was done. Here are some facts to know: Raynauds syndrome is common. In addition to these symptoms, 2 other conditionsRaynaud's phenomenon and Sjgren's syndromealso affect patients with scleroderma. You can now buy battery-powered gloves for outdoors and gloves powered by USB cables for typing. Treat the underlying disease or condition (if you have secondary Raynauds). Apply lotion to prevent dry or cracked skin. Our study identified important challenges to being active faced by people with scleroderma as well as solutions that some of them have found to be helpful. It can be caused by a variety of factors, but the most common reason for this condition is exposure to cold. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Raynauds-Phenomenon), (https://www.arthritis.org/diseases/raynaud-s-disease), (https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/peripheral-arterial-disease/raynaud-syndrome), (https://www.sruk.co.uk/raynauds/what-raynauds/), (https://www.niams.nih.gov/health-topics/raynauds-phenomenon), (https://medlineplus.gov/genetics/condition/raynaud-phenomenon/), Migraine medications containing ergotamine, Heart, Vascular & Thoracic Institute (Miller Family). 2016 Oct;36(10):1371-7. doi: 10.1007/s00296-016-3483-6. This prevents the nerves from sending signals that make your blood vessels get too narrow. Raynaud's phenomenon. A person with Raynauds Phenomena will usually have an unusually cool feeling in their hands and feet, even in temperatures of 20C. As your blood vessels relax and open up again, your skin may look red or feel tingly. Several diagnostic tests can help determine if you have primary or secondary Raynauds syndrome. Beyond that it's still a medical mystery. Some people, usually those with secondary Raynaud's, may need to take a medication to prevent or control attacks. Some people use fingerless gloves when they work inside. Study participants identified creative solutions that can be used by other people with scleroderma, including things like putting warmers into their gloves to keep their hands warms and planning exercise for the time of day when they have the most energy. This reduces or cuts off blood flow through these small arteries (known as capillaries). 10 That makes it especially important to prevent Raynaud's symptoms in those patients. People who have the disorder must stop smoking Smoking Cessation While often very challenging, quitting smoking is one of the most important things smokers can do for their health. Traumatic vasospasm from vibrating tools or repeated pounding with the palm of your hand. i also have raynauds, fatigue, aches, rashes, fever/chills. For example, dress your child warmly in cold weather (and give them two pairs of mittens to wear rather than just one). This helps prevent Raynauds from getting worse. A. Dr. Fredrick Wigley responds: Raynaud's phenomenon can be a sign of an underlying secondary disease process, and when it starts after age 40 then a good evaluation is needed. Dr. Victor Francisco Izaguirre Gutirrez answered. Use for phrases These disorders include migraines Migraines A migraine headache is typically a pulsating or throbbing pain that ranges from moderate to severe. Raynauds disease has also been referred to as Raynauds syndrome or vasospastic syndrome. The spasms happen in response to cold, stress, or emotional upset. There are underlying conditions that cause Raynaud's, such as systemic scleroderma, lupus, or cryoglobulinemia, that can affect the heart or other organs. Experience side effects from medications. Its also important to visit your provider for yearly checkups. Usually, Raynauds in kids and teens is mild, and symptoms should ease as your child gets older. Use OR to account for alternate terms People who have a family history of Raynauds disease. Raynauds can also cause the hands or feet to become very sensitive to cold. Were member funded and need your support for our mission. Also, its important to know which medications can trigger an attack. Raynauds Sufferers Should Refuse To Be Dismissed. These sores may progress to gangrene. read more (in which the fingers suddenly become very pale and tingle or become numb or blue in response to . Everyone's hands get cold from time to time. Raynauds syndrome is the medical term used to describe a wide range of blood-vessel-related symptoms. Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada)dedicated to using leading-edge science to save and improve lives around the world. Scolnik M, Vasta B, Hart DJ, Shipley JA, Mchugh NJ, Pauling JD. Does Raynaud's cause fatigue? The . Quitting smoking brings immediate health benefits that increase over time read more because nicotine constricts blood vessels. (Raynaud's phenomenon), and inflammation of the blood vessels (vasculitis). Learning how to care for yourself at home can help you avoid and manage Raynauds attacks. Raynaud's phenomenon is common in scleroderma and occurs because of an inappropriate and exaggerated contraction of the small blood vessels in the fingers and toes in response to the cold or emotional distress. Copyright 2023 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. In some cases, it also causes less blood flow to the ears, toes, nipples, knees, or nose. Have sores or ulcers on your fingers or toes. For those who experience symptoms when they get excited, mild sedatives or biofeedback may help. Dont go barefoot. Heart rate variability as a biomarker of fibromyalgia syndrome. 6. Providers who may help with your diagnosis and treatment include: Treatment depends on the severity of your condition and whether you have the primary or secondary form. I believe that anyone can cook a delicious meal, no matter their skill level. That means they come and go. The fingers and toes become pale (pallor) or bluish (cyanosis), usually in patches. Dont forget mittens (warmer than gloves) and a hat. 2017;5:121. doi:10.3389/fped.2017.00121. the efficacy of complementary and alternative medicine in the treatment of Raynaud's phenomenon: a literature review and meta-analysis. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. Finally, depression can also bring on fatigue. But scientists use them to distinguish between primary and secondary forms of the condition. The coexistence of Lupus and p. Thats why its important not to just warm the extremities, but the full body, especially the core, to help deter the reaction. Put your hands under your armpits to warm them up. People with autoimmune conditions, especially connective tissue diseases, are at higher risk of Raynauds. By Adrienne Dellwo Ana titer of 1:320, psoriasis, raynauds, major fatigue, easily bruise, low platelet count, positive anticardiolipin iga level, neg igg & igm . When the blood flow returns, the skin turns red and throbs or tingles. If you have Raynaud's disease, those blood vessels . Raynauds is a condition that affects a persons hands, feet, and nose. Follow a nutritious diet, full of vegetables, fruits, whole grains and lean protein. i work out daily. As the blood flow returns to normal, the affected areas often turn red. As a result, your skin in the affected area turns white and then blue. Raynaud's symptoms may aggravate certain symptoms of FMS and ME/CFS, which often involve temperature sensitivity. Common triggers of Raynaud's attacks include cold weather and stress. I specialize in healthy, flavorful recipes that are easy to make at home. Talk with your provider about what you can expect and how to manage your condition. Raynauds syndrome causes spasms in small blood vessels in your fingers and toes. Or it may happen along with other diseases, known as secondary form. These include: However, if you have severe symptoms, you may need medication. It is most often associated with a drop in the skins ability to hold heat. Take frequent breaks during the day to rub your hands together. Raynauds symptoms affect your skin and may include: Symptoms of Raynauds syndrome are episodic. Can Raynaud's cause fatigue? Named after the French physician who first described it in 1862, Raynaud's is caused by a problem in the body's arteries. Drugs that dilate blood vessels such as calcium-channel blockers are often effective. The trusted provider of medical information since 1899, Aneurysms of Arteries in the Arms, Legs, and Heart, Overview of Functional Peripheral Arterial Disease, Full review/revision May 2021 | Modified Sep 2022. It is important to note, however, that Raynaud's phenomenon without any underlying disease is not uncommon in the general population, especially among young women. Experts don't know why some people develop Raynaud's and others don't. Don't miss your FREE gift. Patients with Raynauds for reasons still unknown have overactive vessels that become too narrow. Theres nothing you can do to prevent Raynauds syndrome. Treatment goals include: For many people, lifestyle changes are enough to manage their condition. Treatment. o [ pediatric abdominal pain ] To examine the prevalence and significance of barriers, as well as the likelihood of using possible facilitators, to physical activity among patients with SSc, Harb and colleagues surveyed participants enrolled in the international Scleroderma Patient-Centered Intervention Network (SPIN) cohort. This spot is called your nailfold. However, among those with a barrier who had not tried the corresponding facilitator, only 12 of the 103 were rated by more than 50% as likely or very likely., Symptoms of the disease posed important challenges, particularly those related to Raynauds phenomenon and fatigue, Harb said. Cleveland Clinic is a non-profit academic medical center. In Raynaud's disease, smaller arteries that supply blood to the skin narrow. This interrupts your normal blood flow and limits the oxygen available to your fingers or toes. When this happens, the digits may turn white, blue or red, and feel painful or numb. Consider using a disposable or rechargeable hand warmer. The first line of defense is modifying your habits to help prevent symptoms. People with PBC may have symptoms such as tiredness (fatigue) and itchy skin (pruritus), as . Therefore, it is important read more , such as nifedipine or amlodipine. As mentioned above, Raynauds syndrome causes an abnormal decrease in blood flow to the fingers and toes. The affected body part. A small number of people have a genetic predisposition to developing Raynaud's syndrome, but most people who are affected Does Raynaud'S Cause Fatigue? Lifestyle changes such as wearing gloves and socks and avoiding caffeine can make people feel better. A multicentre cross-sectional study was conducted. 2023 Dotdash Media, Inc. All rights reserved. If doctors suspect an artery is blocked, Doppler ultrasonography Echocardiography and Other Ultrasound Procedures may be done before and after the person is exposed to cold. This technique uses sensors placed on the fingers that feed temperature information to a video screen. We do not endorse non-Cleveland Clinic products or services. My parents are both great cooks, and they taught me a lot about the kitchen. Raynaud's can also affect the face (nose, ears, lips) and breasts. It may also impact your quality of life. Enter search terms to find related medical topics, multimedia and more. We don't know exactly why symptoms of Raynaud's are common in people with FMS and ME/CFS. All rights reserved. Secondary causes of Raynauds include lupus, scleroderma, and other diseases. This is done to see the color changes in the hands and fingers. As you warm up, it could turn red. This is called "secondary Raynaud's," and can be a harbinger of a more serious health threat. People under age 30, often starting in the teenage years. Triggers that can lead to a Raynauds attack include: Primary Raynauds syndrome has no identifiable underlying cause. Your provider may also perform a physical exam and talk with you about your medical and family history. Regarding facilitators, 23 out of the possible 103 were rated likely or very likely to be used by at least 75% of participants who experienced corresponding barriers. Raynaud's Symptoms. 2004;18(4):31-45. Read our, Raynaud's in Fibromyalgia/Chronic Fatigue Syndrome, Paresthesia in Fibromyalgia and Chronic Fatigue Syndrome, How Showering Can Worsen Symptoms of Fibromyalgia and ME/CFS, Fibromyalgia, Chronic Fatigue, and Excessive Sweating, 10 Lifestyle Changes for Fibromyalgia and Chronic Fatigue Syndrome, Temperature Sensitivity in Fibromyalgia and ME/CFS, Swollen Glands or Lymph Nodes With Fibromyalgia and ME/CFS, Cold Survival With Fibromyalgia & Chronic Fatigue Syndrome, Irritable Bowel Syndrome in Fibromyalgia and CFS, D-Ribose for Fibromyalgia and Chronic Fatigue Syndrome, Erythrocyte sedimentation rate (sed rate), Symptoms of Raynaud's phenomenon (RP) in fibromyalgia syndrome are similar to those reported in primary RP despite differences in objective assessment of digital microvascular function and morphology, Myalgic encephalomyelitis/chronic fatigue syndrome diagnosis and management in young people: a primer, Patient education: Raynaud phenomenon (Beyond the Basics). Raynaud's disease and Raynaud's phenomenon are blood vessel (vascular) conditions characterized by sudden contraction (vasoconstriction) of small arteries (arterioles) supplying the fingers and toes (digits) and less commonly, the nose or ears, causing a temporarily decreased blood supply. Approximately 85% to 95% of scleroderma patients experience Raynaud's phenomenon. Common triggers of Raynauds attacks include cold weather and stress. Raynaud's phenomenon. Vascular Cures: Raynaud's disease: General information on symptoms, risk factors, diagnosis, and treatment of Raynaud syndrome. Raynaud's. Raynaud's phenomenon . CREST syndrome is associated with detectable antibodies against centromeres (a component of the cell nucleus), and . While treatments for Raynaud's and FMS/ME/CFS are different, lifestyle changes such as not smoking, managing stress, and gentle exercise may help alleviate symptoms of all those conditions. What can microhaemorrhages on nailfold capillaroscopy indicate? Your provider may ask you to take photos of your skin changes when they happen. It causes certain parts of your body, usually the fingers, toes, ears, or tip of your nose to feel cold and go numb in cold temperatures or when you feel stressed. Malenfant D, Catton M, Pope JE. Doctors typically provide answers within 24 hours. Research summary. It would be prudent My first concerns are whether your gerd is real -- get endoscoped, and it may be the cause of your cough and if so this is dangerous. For a Raynauds sufferer, it can happen at 60 or 70 or after a really bad day at work. As a result, the fingers and toes of the hands and feet will turn pale or blue. Raynauds syndrome is a common condition that may affect your quality of life. Scolnik M, Vasta B, Hart DJ, Shipley JA, McHugh NJ, Pauling JD. Only one finger or toe or parts of one or more may be affected. Wear several layers of loose clothing. The same management tips for adults also can help your child. BONUS! Raynaud's disease is a disease of the blood vessels in which blood can't get to the surface of the skin and the affected . National Institutes of Health (NIAMSD). Small painful sores may appear on the tips of the fingers or toes. People with primary Raynauds do not often develop a related condition. Rheumatol Int. Avoid touching cold objects (like glasses of ice water or cold metal surfaces). Some people with Raynaud syndrome also have other disorders that occur when arteries are prone to constrict. Avoid spicy foods. In: Papadakis MA, McPhee SJ, Rabow MW, McQuaid KR, eds. Use to remove results with certain terms 3. If your capillaries in the area are enlarged or abnormal, you may have a connective tissue disease. Limit your exposure to heat. Triumph chilled can also cause pain . Thanks for visiting. ms? An affected finger may turn white (because the artery is closed), then it may turn blue or purple and, as it . Primary Raynauds syndrome doesnt affect your heart. Raynaud Syndrome. Managing Raynauds includes avoiding cold, dressing warmly, and stopping smoking. 6 Natural Remedies for Raynaud's Syndrome Symptoms. However, your healthcare provider may also order a cold stimulation test for you, in which heat sensors will record the temperature of your fingers before and after you soak them in cold water. Yazdany J, Manno RL. Cold exposure stops the blood supply to the fingers and toes, and occasionally the nose or ears. TODAY, NAAN recipe: the fluffiest and tenderest texture A24.com. Constriction of small arteries in the fingers and toes begins quickly, most often triggered by exposure to cold. Rarely, Raynaud's is caused by an underlying disease that requires diagnosis and therapy. Prazosin may also be effective. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. Myalgic encephalomyelitis/chronic fatigue syndrome diagnosis and management in young people: a primer. Consecutive patients with an a priori diagnosis of primary RP Raynaud's phenomenon (RP) usually occurs in response to exposure to cold temperatures, anxiety or emotional stress. I hope youll check out my blog and my recipes, and I look forward to hearing from you! now muscle/tendon pain four months. You might notice: Cold fingers and toes. While connected, you use relaxation and other techniques to try to warm your fingers, aided by feedback from the sensors. How does waiting on prostate cancer treatment affect survival? This form of Raynaud's is called "primary Raynaud's." Your skin might turn white or blue when it's cold or when you're stressed. During the test, your hands are exposed to cold. Taking the proper steps can reduce the length and severity of an attack. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. It is often treated by doctors with medications and lifestyle changes, including avoiding cold weather, warm baths, and caffeine. This color change happens because your blood lacks oxygen. Raynaud's phenomenon (Ray-nodes fen-om-e-non) causes blood to stop flowing properly to the outer parts of the body. . 4. There are no standard treatments for Raynauds. Also, dermatologists will often recommend that people avoid long-term exposure to cold or heat, and avoid exercising. There is associated tiredness, joint pain, mouth ulcers, hair loss and Raynaud's. the difference between this type of pain and pain due to Raynaud's. However, Raynaud's tingling happens in response to cold exposure and carpal-tunnel tingling happens when there is no change . Raynaud's is also common in lupus, rheumatoid arthritis, and Sjogren's syndrome. There is associated tiredness, joint pain, mouth ulcers, hair loss and Raynaud's. Doing so can help your provider diagnose and treat underlying conditions that may cause Raynauds phenomenon. Geetika Gupta, MD, is a board-certified internist working in primary care with a focus on the outpatient care of COVID-19. Primary Raynauds syndrome isnt serious and doesnt damage your blood vessels. In a Sjgren's Foundation survey, 17% of . . It often begins between ages 15 and 25. Raynaud's is different than just getting cold. Does less TV time lower your risk for dementia? Dr. Victor Francisco Izaguirre Gutirrez. When blood flow returns, your fingers may feel warm or throb. no fatigue. Primary Raynaud syndrome is much more common then secondary Raynaud syndrome. It can affect one or both sides of the head. The white areas develop irregularly in the fingers. thx. As the episode ends, the affected areas may be redder than usual or bluish. (i have been negatively tested for sleep apnea.? It's not thought that primary Raynaud's itself causes fatigue, but living with a chronic health condition can lead to fatigue - and some of the conditions associated with secondary Raynaud's, such as scleroderma and lupus, are chronic conditions. Policy. Your healthcare provider may also look at the tiny blood vessels in your fingernails with a microscope. The diseases most often linked with Raynauds are autoimmune or connective tissue diseases such as: Occlusive vascular disease, such as atherosclerosis, Blood disorders, such as Cryoglobulinemia. The most commonly affected body parts are the fingers and toes, but your lips, nose, ear lobes, knees, and nipples may also be involved. Raynauds can be triggered by cold, extreme heat, and emotional stress. Ask your provider if any of your current medications could cause your condition to flare up. Check if it's Raynaud's. Raynaud's affects your blood circulation. The survey was closed in October 2019, with 721 respondents having completed the survey. When you are having an attack, you can then "think" your fingers warm. Raynaud's disease: This disease causes the blood vessels in the hands and feet to narrow, reducing blood flow . Primary Raynauds syndrome (also called Raynauds disease). When the body feels it's in danger of extreme cold or stress, the blood vessels in the extremities shut down to send the blood to the .

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