Raynaud's phenomenon of the tongue: uncommon presentation of a classical sign

Diot, Élisabeth

doi:10.1093/qjmed/hcs103

Cited by 7 publications

(9 citation statements)

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“…Vasospasm is a physiological response to cold temperatures but can also be secondary to stress, caffeine consumption, and smoking 3 . RP most commonly affects the hands and feet but other reported areas include coronary, gastrointestinal, placental, penile, and tongue 1,4,5 …”

Section: Discussionmentioning

confidence: 99%

Nipple pain: Raynaud's beyond fingers and toes

et al. 2020

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Raynaud's phenomenon of the nipple (RPN) is a cause of nipple pain scarcely reported in the literature and frequently missed by physicians. We present a case of RPN in a pregnant mother who sought breast surgical consultation for episodic nipple pain. Review of the literature reveals RPN is predominant in lactating and pregnant patients and missed diagnosis can cause cessation of breastfeeding or mistreatment with antifungals. Clinical suspicion should be raised if symptoms are precipitated by cold, associated with color change, occur during pregnancy or breastfeeding, or with a history of Raynaud's. Treatment is generally supportive, with nifedipine used for severe cases.

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Section: Discussionmentioning

confidence: 99%

Nipple pain: Raynaud's beyond fingers and toes

et al. 2020

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“…It is manifested clinically as dramatic colour changes in the skin of the digits [1] . Less frequently, the tip of the nose, the nipples or the earlobes can also be involved [2] . Initially, the skin becomes pale due to vasoconstriction, and then dusky blue from deoxygenation of haemoglobin within the tissues.…”

Section: Discussionmentioning

confidence: 99%

“…Raynaud’s is classified as primary (no underlying cause) or secondary (an underlying medical condition). Lingual Raynaud’s is rare due to the excellent collateral circulation in the tongue but has been previously reported in association with radiotherapy [1] and scleroderma [2] , but interestingly is not associated with poorer outcomes in autoimmune conditions [2] . Transient dysarthria and paraesthesia are also recognised associated symptoms [3] .…”

Section: Discussionmentioning

confidence: 99%

Raynaud's of the Tongue

Perry

Surtee

Nawaz

2017

European Journal of Case Reports in Internal Medicine

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We describe a 40-year-old lady who presents with a painful white tongue on exposure to the cold. The differential diagnosis and investigations are outlined with a discussion about this unusual presentation of a common problem.LEARNING POINTS • Raynaud's can affect areas of the body besides the digits.• Lingual Raynaud's should be considered in patients with transient tongue pain.• Alternative diagnoses should be sought if ulceration or permanent symptoms develop. KEYWORDS Raynaud's, tongue CASE DESCRIPTION A 40-year-old woman presented with intermittent, 20 minute episodes of sequential painful white and blue tongue discoloration upon exposure to the cold. The peripheral rim of her tongue was relatively spared and on re-warming, the tongue became bright red associated with a burning sensation. The episodes caused moderately severe discomfort with dysarthria and stiffness at the back of the tongue as well as hypersalivation. The patient had a past history of vitamin B12 deficiency and was a smoker. There was no concurrent digital vasospasm of fingers or toes, lips or nipples. She did not have a past medical history of any connective tissue disease. Physical examination was normal but the tongue colour change is shown in Figure 1. Laboratory testing was negative for anti-nuclear antibody and rheumatoid factor. Other blood investigations demonstrated no abnormalities in biochemistry, haematology, ESR or clotting profile.

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“…Occasionally, intense emotions seemed to bring on the symptoms, but just cooling the tongue (e.g., having a cold drink) did not; the patient did not report seasonal variability in their frequency. 2,3 Amlodipine 10 mg/d had slightly shortened the duration but not the frequency of the episodes.…”

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confidence: 99%

“…Lingual Raynaud phenomenon has not been reported to be a predictor of worse prognosis from the underlying autoimmune rheumatic disease. 3 Dysarthria can occur during these episodes, although no hypothesis about its mechanism has been proposed. 2 Dihydropyridine calcium-channel blockers have been used successfully in the management of lingual Raynaud phenomenon.…”

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confidence: 99%

Raynaud phenomenon causing lingual pallor and dysarthria

Chatterjee

2016

CMAJ

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Raynaud's phenomenon of the tongue: uncommon presentation of a classical sign

Cited by 7 publications

References 0 publications

Nipple pain: Raynaud's beyond fingers and toes

Nipple pain: Raynaud's beyond fingers and toes

Raynaud's of the Tongue

Raynaud phenomenon causing lingual pallor and dysarthria

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