A 34-year-old artist was referred by her rheumatologist for a 9-year history of pain in the distal aspect of her right third finger. This complaint was presumed to be Raynaud's phenomenon. Her pain was interfering with her ability to draw and paint. Her history was unusual in that pain, not color change, was associated with cold temperatures. The pain could be relieved by warming her finger in her axilla. She had not responded to trials of diltiazem, prazosin, or other vasodilators.