Hello @SusanEllen66, I know the hot/cold feeling in the hands and feet can be pretty awful at times. It's good to know that you found some topicials that provide a little relief. The Vasculitis Foundation has some education videos on PAN on their website -- https://www.vasculitisfoundation.org/education/forms/polyarteritis-nodosa/. One in particular that might be helpful is The VF Road Map to Wellness Webinar: Focus on Polyarteritis Nodosa -- https://youtu.be/zKssb0npKjs

Have you done any research to find other treatments that may help?