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Lingual Raynaud's phenomenon: a rare presentation.

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A rare case of tongue Raynaud's phenomenon mimicked transient ischemic attack (TIA). Early diagnosis is crucial to avoid misdiagnosis and ensure appropriate treatment for this vascular condition.

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Area of Science:

  • Rheumatology
  • Neurology
  • Vascular Medicine

Background:

  • Transient ischemic attack (TIA) diagnosis can be challenging, especially with atypical presentations.
  • Raynaud's phenomenon, a vasospastic disorder, commonly affects extremities but rarely the tongue.

Observation:

  • A woman in her mid-60s presented with recurrent tongue sensory changes and discolouration, initially suspected as TIA.
  • Symptoms included intermittent numbness and white discolouration of the tongue, unresponsive to anti-platelet therapy.

Findings:

  • Extensive investigations ruled out cerebrovascular events.
  • A diagnosis of primary Raynaud's phenomenon of the tongue was established, highlighting its rare oral manifestation.

Implications:

  • This case underscores the importance of considering rare conditions in differential diagnoses.
  • Recognizing sensory symptoms associated with Raynaud's phenomenon is vital for accurate diagnosis and management.
  • Highlights the need for a multidisciplinary approach in complex cases.