Intended for healthcare professionals


Vasospasm of the nipple–a manifestation of Raynaud's phenomenon: case reports

BMJ 1997; 314 doi: (Published 01 March 1997) Cite this as: BMJ 1997;314:644
  1. Laureen Lawlor-Smith, general practitionera,
  2. Carolyn Lawlor-Smith, general practitionerb
  1. a PO Box 1297, Aldinga Beach, SA 5173, Australia
  2. b 194a Chandlers Hill Rd, Happy Valley, SA 5159
  1. Correspondence to: Carolyn Lawlor-Smith
  • Accepted 16 October 1996


Raynaud's phenomenon was first described by Maurice Raynaud in 1862. It is defined as intermittent ischaemia affecting the acral parts of the body, most commonly the fingers or toes. It is much more prevalent in women, with a female to male ratio of 9:1.1 It is common in healthy women of childbearing age, affecting up to 22% of healthy women in the 21-50 year age group.2Nipple pain is the most common symptom in breastfeeding women and is the second most common reason given for abandoning breastfeeding, exceeded only by perceived low milk supply.3 We report on five women with Raynaud's phenomenon affecting …

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