Dear NIkki, I can't find the picture of Raynaud;s of the nipple. The article (Full text PDF: http://www.paopractinet.nl/system/files/raynaud.pdf) is a descriptive discussion of primairy and secundairy Raynaud's Phenomena, diagnostics and treatment. Key points of the introduction: • Het primair fenomeen van Raynaud (RF) is een relatief frequent voorkomende aandoening met meestal weinig ernstige klachten of complicaties. * The primairy Raynaud's Phenomena (RP) is a relatively common condition with normally not very serious complaints or complications • Het onderscheid tussen primair en secundair RF is van belang wat betreft complicaties en voor prognose en behandeling. Secundair RF treedt vooral op in het kader van een bindweefselsysteemziekte. * The distinction between priamairy and secundairy RP is imporetant with regards to complications and for prognosis and treatment. Secundairy RP is presominantly seen within the context of a disease of the connective tissue system • Bij ongeveer 13% van de patiënten met aanvankelijk een ogenschijnlijk primair RF ontwikkelt zich binnen een aantal jaren toch een systeemziekte. * In appr. 13% of patients wit a initially seemingly primairy RP a systemic disease will develop within some years • Auto-immuunserologisch onderzoek, waaronder bepaling van antinucleaire antistoffen (ANA), en capillairmicroscopie zijn bij RF belangrijke diagnostische hulpmiddelen als men een systeemziekte of een zich ontwikkelende systeemziekte vermoedt. *Auto-immune serum testing, inclusing antinucleair antigenes (ANA), and cappillairmicroscopy are important diagnostics tools in case of suspicion of (developping) systemic disease • Calciumantagonisten vormen de hoeksteen van de farmacotherapeutische behandeling van RF. * Calcium antagonists are the cornerstone of pharmceutical treatment of RP FUll translation would take me a bit longer ;-) Warmly, Gonneke --- On Wed, 12/16/09, Nikki Lee <[log in to unmask]> wrote: From: Nikki Lee <[log in to unmask]> Subject: [LACTNET] question about article in Dutch To: [log in to unmask] Date: Wednesday, December 16, 2009, 2:42 PM Dear Friends: Would our dear colleagues from the Netherlands please find out more about this article and let us all know? Ned Tijdschr Geneeskd. <javascript:AL_get(this, 'jour', 'Ned Tijdschr Geneeskd.');> 2009;153:B343. [Diagnostic image. A breastfeeding woman with a painful, blue nipple] Velstra B<https://mail.google.com/pubmed?term=%22Velstra%20B%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract>, Bijlsma TS<https://mail.google.com/pubmed?term=%22Bijlsma%20TS%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract> . Spaarne Ziekenhuis, afd. Heelkunde, Hoofddorp, The Netherlands. [log in to unmask] A 32-year-old breastfeeding woman presented with a painful, blue nipple due to Raynaud's syndrome. warmly, Nikki Lee BSN, Mother of 2, MS, IBCLC, CCE, CIMI craniosacral therapy practitioner www.breastfeedingalwaysbest.com *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome