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Lingual Raynaud phenomenon
A 45-year-old woman with squamous cell carcinoma of her right tonsil (stage T2N2bM0) was given accelerated fractionated radiotherapy (7000 cGy in 35 fractions over 6 wk), concurrently with cetuximab. After completing radiotherapy, she did well for 18 months, when she had intermittent episodes of blu...
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Published in: | Canadian Medical Association journal (CMAJ) 2015-10, Vol.187 (15), p.1160-1160 |
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description | A 45-year-old woman with squamous cell carcinoma of her right tonsil (stage T2N2bM0) was given accelerated fractionated radiotherapy (7000 cGy in 35 fractions over 6 wk), concurrently with cetuximab. After completing radiotherapy, she did well for 18 months, when she had intermittent episodes of blue discoloration of her tongue (Figure 1). These self-limiting episodes happened several times a day, apparently precipitated by cold weather or drinking cold drinks. She reported no tingling, pain or numbness. The symptoms did not involve her digits. There was no history of atherosclerotic or rheumatic disease, and she was not taking any medications used to treat Raynaud phenomenon. |
doi_str_mv | 10.1503/cmaj.140784 |
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After completing radiotherapy, she did well for 18 months, when she had intermittent episodes of blue discoloration of her tongue (Figure 1). These self-limiting episodes happened several times a day, apparently precipitated by cold weather or drinking cold drinks. She reported no tingling, pain or numbness. The symptoms did not involve her digits. There was no history of atherosclerotic or rheumatic disease, and she was not taking any medications used to treat Raynaud phenomenon.</description><identifier>ISSN: 0820-3946</identifier><identifier>EISSN: 1488-2329</identifier><identifier>DOI: 10.1503/cmaj.140784</identifier><identifier>PMID: 26195579</identifier><identifier>CODEN: CMAJAX</identifier><language>eng</language><publisher>Canada: Joule Inc</publisher><subject>Care and treatment ; Case studies ; Clinical medicine ; Development and progression ; Female ; Humans ; Magnetic resonance imaging ; Medical diagnosis ; Medical imaging ; Middle Aged ; Patient outcomes ; Practice ; Raynaud disease ; Raynaud Disease - diagnosis ; Squamous cell carcinoma ; Tongue - blood supply ; Tongue - pathology</subject><ispartof>Canadian Medical Association journal (CMAJ), 2015-10, Vol.187 (15), p.1160-1160</ispartof><rights>COPYRIGHT 2015 Joule Inc.</rights><rights>Copyright 8872147 Canada Inc. Oct 20, 2015</rights><rights>2015 8872147 Canada Inc. or its licensors 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c640t-f11a95e033900aeaf0d6808c6a438a415108fe59a07ffd3a083a9a047f4c492c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610842/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610842/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26195579$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghiam, Alireza Fotouhi</creatorcontrib><creatorcontrib>Cho, John</creatorcontrib><title>Lingual Raynaud phenomenon</title><title>Canadian Medical Association journal (CMAJ)</title><addtitle>CMAJ</addtitle><description>A 45-year-old woman with squamous cell carcinoma of her right tonsil (stage T2N2bM0) was given accelerated fractionated radiotherapy (7000 cGy in 35 fractions over 6 wk), concurrently with cetuximab. 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There was no history of atherosclerotic or rheumatic disease, and she was not taking any medications used to treat Raynaud phenomenon.</description><subject>Care and treatment</subject><subject>Case studies</subject><subject>Clinical medicine</subject><subject>Development and progression</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic resonance imaging</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Patient outcomes</subject><subject>Practice</subject><subject>Raynaud disease</subject><subject>Raynaud Disease - diagnosis</subject><subject>Squamous cell carcinoma</subject><subject>Tongue - blood supply</subject><subject>Tongue - pathology</subject><issn>0820-3946</issn><issn>1488-2329</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqV0u9r1DAYB_AgirtNX_nOFzIciCI987NN3gzG0G1wKEx9HR7TpJejTW5NK9t_b86b8yr3xjSlJP3024Q8CL0geE4EZh9MB6s54biS_BGaES5lQRlVj9EMS4oLpnh5gA5TWuHcGK2eogNaEiVEpWbo5cKHZoT2-BruAoz18XppQ-zyHZ6hJw7aZJ_fP4_Q908fv51fFosvF1fnZ4vClBwPhSMElLCYMYUxWHC4LiWWpgTOJHAiCJbOCgW4cq5mgCWDPOCV44YratgROt3mrscfna2NDUMPrV73voP-Tkfwevom-KVu4k_NyxzNaQ54ex_Qx5vRpkF3PhnbthBsHJMmFRU4d84yPfmHruLYh7y930pIXknyVzXQWu2Di_m_ZhOqzzgjqhSKyqyKPaqxweZFxmCdz9MT_3qPN2t_o3fRfA_KV207b_amvpt8kM1gb4cGxpT01dfr_7Cfp_bNjl1aaIdliu04-BjSFL7fQtPHlHrrHk6OYL0pUL0pUL0t0Kxf7R72g_1TkewXpCrZow</recordid><startdate>20151020</startdate><enddate>20151020</enddate><creator>Ghiam, Alireza Fotouhi</creator><creator>Cho, John</creator><general>Joule Inc</general><general>CMA Impact, Inc</general><general>8872147 Canada Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M3G</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20151020</creationdate><title>Lingual Raynaud phenomenon</title><author>Ghiam, Alireza Fotouhi ; Cho, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c640t-f11a95e033900aeaf0d6808c6a438a415108fe59a07ffd3a083a9a047f4c492c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Care and treatment</topic><topic>Case studies</topic><topic>Clinical medicine</topic><topic>Development and progression</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic resonance imaging</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Patient outcomes</topic><topic>Practice</topic><topic>Raynaud disease</topic><topic>Raynaud Disease - 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subjects | Care and treatment Case studies Clinical medicine Development and progression Female Humans Magnetic resonance imaging Medical diagnosis Medical imaging Middle Aged Patient outcomes Practice Raynaud disease Raynaud Disease - diagnosis Squamous cell carcinoma Tongue - blood supply Tongue - pathology |
title | Lingual Raynaud phenomenon |
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