Raynaud's phenomenon manifesting as progressive abnormal MRI bone marrow signal in the toes

Mason A Brown1, Douglas Handley1, Andrew Simon1

  • 1Aurora St. Luke's Medical Center, Department of Radiology, 2900 W. Oklahoma Ave., Milwaukee, WI 53215 USA.

Radiology Case Reports
|September 14, 2019
PubMed
Abstract

Insights

Raynaud's phenomenon (RP) can initially present as unexplained toe pain. Progressive abnormal bone marrow signals on magnetic resonance imaging (MRI) can aid in earlier diagnosis and treatment of RP.

Area of Science:

  • Rheumatology
  • Radiology
  • Medical Imaging

Background:

  • Raynaud's phenomenon (RP) is a vascular disorder characterized by exaggerated vasoconstriction.
  • Early diagnosis of RP is crucial for managing symptoms and preventing complications.

Observation:

  • This report details the clinical presentation of a patient diagnosed with RP.
  • Progressive magnetic resonance imaging (MRI) findings in the toes were documented.

Findings:

  • Raynaud's phenomenon (RP) can manifest as non-specific toe pain.
  • Abnormal bone marrow signal progression on MRI was observed in the affected toes.

Implications:

  • MRI findings may offer valuable insights for earlier RP diagnosis.
  • Timely diagnosis can facilitate prompt treatment and management of associated rheumatologic conditions.

Related Concept Videos

Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Multiple Sclerosis l: Introduction01:19

Multiple Sclerosis l: Introduction

Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...