Raynaud’s Phenomenon of the Nipple: A Treatable Cause of Painful Breastfeeding

Jane E. Anderson, Nancy Held, Kara Wright

Article Figures & Data

TABLE 1.

Demographics and Clinical Information

Case	1	2	3	4	5	6	7	8	9	10	11	12
Age	28	31	35	32	32	33	33	33	31	34	34	32
Gravida/para	1/1	1/1	1/1	1/1	1/2	2/1	1/1	1/1	1/1	4/1	2/1	1/1
	2/2
Birth weight, g	3450	2680	3880	3620	3151	3800	3560	2590	3250	3390	4040	2540
	2780				2860
Nipple pain	X	X	X	X	X	X	X	X	X	X	X	X
Symptoms with cold	X	X	X	X	X	X	X	X	X	X	X	X
Blanching	X	X	X	X	X	X	X	X	X	X	X	X
Color change	X	X	X	X	X	X	X	X	X	X	X	X
Symptoms with pregnancy	…	X	X	X	X	X	…	…	…	…	X	…
History of thyroid disease	…	X	…	…	…	…	…	…	…	X	…	…
History of Raynaud’s phenomenon	…	X	…	…	…	…	…	Possible multiple sclerosis	…	…	…	…
History of smoking	…	…	…	…	…	…	…	…	…	…	…	…
Family history of any disease	…	…	Maternal grandmother thyroid disease	Aunt with Raynaud’s phenomenon	…	Sister with thyroid disease	…	…	…	…	Brother with thyroid disease	Family history thyroid disease
Seen by lactation specialist	…	X	X	…	X	X	X	X	X	X	X	X
Treated for thrush	X	X	…	X	X	X	…	X	X	…	…	X
Treated with nifedipine	…	…	X	X	…	…	X	X	…	X	…	X
Previous breast surgery	X	…	X	…	…	…	…	…	…	…	X	…
Breastfeeding duration	1 y	6 mo	1 y*	6 mo*	8 mo*	4 mo*	8 mo*	6 mo*	8 mo*	?	4 mo*	4*
	1 y