This is 30-year-old female with foot pain especially great toe pain for last six months. Initially patient was four months postpartum. Similar finding were seen on the MRI performed December 2021. The findings are more and now there is Low T1 signal compared to previous exam. She is not a runner. I’m not sure what this is due to. The findings are greatest at the first distal feelings but present at first through fourth distal phalanges.
Any thoughts? Paragraph thank you in advance.
Sent from my iPhone
4 thoughts on “Distal pharyngeal edema”
HRosas
http://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0
Abnormal Bone Marrow Signal Intensity in the Phalanges of the Foot as a Manifestation of Raynaud Phenomenon: A Report of Six Patients : American Journal of Roentgenology : Vol. 207, No. 6 (AJR)<http://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0>
Raynaud phenomenon (RP) is a disorder involving the microvasculature of the extremities that is characterized by recurrent and episodic vasospasm of the digits and typically is precipitated by exposure to cold temperatures or emotional stress [].RP was first described by Maurice Raynaud in 1862; it is estimated to affect 3–5% of the global population and is more prevalent in colder climates … http://www.ajronline.org
Here is a nice article on the subject. Discusses other etiologies as well.
Cheers,
Tito
________________________________
Sent: Thursday, February 24, 2022 12:36 PM
WARNING: This email appears to have originated outside of the UW Health email system.
DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe.
This is 30-year-old female with foot pain especially great toe pain for last six months. Initially patient was four months postpartum. Similar finding were seen on the MRI performed December 2021. The findings are more and now there is Low T1 signal compared to previous exam. She is not a runner. I’m not sure what this is due to. The findings are greatest at the first distal feelings but present at first through fourth distal phalanges.
Any thoughts? Paragraph thank you in advance.
Sent from my iPhone
ocad-msk
That’s really putting his foot in his mouth. 😉
Peter C. Young, MD
Section Head, Division of Musculoskeletal Radiology
University Hospitals Cleveland Medical Center
Case Western Reserve University
11100 Euclid Avenue Cleveland, OH 44102
(216) 844-1542
________________________________
Sent: Thursday, February 24, 2022 1:38 PM
Here is a nice article on the subject. Discusses other etiologies as well.
Cheers,
Tito
________________________________
Sent: Thursday, February 24, 2022 12:36 PM
WARNING: This email appears to have originated outside of the UW Health email system.
DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe.
This is 30-year-old female with foot pain especially great toe pain for last six months. Initially patient was four months postpartum. Similar finding were seen on the MRI performed December 2021. The findings are more and now there is Low T1 signal compared to previous exam. She is not a runner. I’m not sure what this is due to. The findings are greatest at the first distal feelings but present at first through fourth distal phalanges.
Any thoughts? Paragraph thank you in advance.
Sent from my iPhone
hilary.umans
HI. As someone with long-standing RP…..and Chilblains to boot (that’s
much worse than RP, in my experience….because it lasts a while and is not
really modifiable until it decides to go away)…
I really don’t know if I believe any of this.
We all cite this article when we see the occasional bright toes…but the
truth is, we just don’t know.
RP is transient. When I go out for a long walk or run on a cold (doesn’t
have to be freezing) day, I start noticing that one of my fingers feels
tight in my gloves….before it straight up hurts, and I see it’s gone
purple….then ashy
dead looking. It subsides after maybe an hour or so….depending.
I don’t see why there would be long standing reactive marrow signal
changes….esp. in the absence of surrounding soft tissue signal changes.
I don’t see that anyone provoked and attack and imaged shortly after.
Has that been done?
Not that I’m volunteering…..
Hilary
On Thu, Feb 24, 2022 at 1:38 PM Rosas, Humberto G <HRosas@uwhealth.org>
wrote:
[gallery]
avneesh.chhabra
Hi,
In my opinion, bone edema-like signal should not be transient.
– mri changes lag clinical picture- decreased bone drainage out like muscle drainage out in doms/denervation
I see it commonly in Diabetic ischemia also and its persistent on serial scans.
HI. As someone with long-standing RP…..and Chilblains to boot (that’s much worse than RP, in my experience….because it lasts a while and is not really modifiable until it decides to go away)…
I really don’t know if I believe any of this.
We all cite this article when we see the occasional bright toes…but the truth is, we just don’t know.
RP is transient. When I go out for a long walk or run on a cold (doesn’t have to be freezing) day, I start noticing that one of my fingers feels tight in my gloves….before it straight up hurts, and I see it’s gone purple….then ashy
dead looking. It subsides after maybe an hour or so….depending.
I don’t see why there would be long standing reactive marrow signal changes….esp. in the absence of surrounding soft tissue signal changes.
I don’t see that anyone provoked and attack and imaged shortly after.
Has that been done?
Not that I’m volunteering…..
Hilary
http://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0
Abnormal Bone Marrow Signal Intensity in the Phalanges of the Foot as a Manifestation of Raynaud Phenomenon: A Report of Six Patients : American Journal of Roentgenology : Vol. 207, No. 6 (AJR)<http://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0>
Raynaud phenomenon (RP) is a disorder involving the microvasculature of the extremities that is characterized by recurrent and episodic vasospasm of the digits and typically is precipitated by exposure to cold temperatures or emotional stress [].RP was first described by Maurice Raynaud in 1862; it is estimated to affect 3–5% of the global population and is more prevalent in colder climates … http://www.ajronline.org<http://www.ajronline.org>
Here is a nice article on the subject. Discusses other etiologies as well.
Cheers,
Tito
________________________________
Sent: Thursday, February 24, 2022 12:36 PM
WARNING: This email appears to have originated outside of the UW Health email system.
DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe.
This is 30-year-old female with foot pain especially great toe pain for last six months. Initially patient was four months postpartum. Similar finding were seen on the MRI performed December 2021. The findings are more and now there is Low T1 signal compared to previous exam. She is not a runner. I’m not sure what this is due to. The findings are greatest at the first distal feelings but present at first through fourth distal phalanges.
Abnormal Bone Marrow Signal Intensity in the Phalanges of the Foot as a Manifestation of Raynaud Phenomenon: A Report of Six Patients : American Journal of Roentgenology : Vol. 207, No. 6 (AJR)<http://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0>
Raynaud phenomenon (RP) is a disorder involving the microvasculature of the extremities that is characterized by recurrent and episodic vasospasm of the digits and typically is precipitated by exposure to cold temperatures or emotional stress [].RP was first described by Maurice Raynaud in 1862; it is estimated to affect 3–5% of the global population and is more prevalent in colder climates …
http://www.ajronline.org
Here is a nice article on the subject. Discusses other etiologies as well.
Cheers,
Tito
________________________________
Sent: Thursday, February 24, 2022 12:36 PM
WARNING: This email appears to have originated outside of the UW Health email system.
DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe.
This is 30-year-old female with foot pain especially great toe pain for last six months. Initially patient was four months postpartum. Similar finding were seen on the MRI performed December 2021. The findings are more and now there is Low T1 signal compared to previous exam. She is not a runner. I’m not sure what this is due to. The findings are greatest at the first distal feelings but present at first through fourth distal phalanges.
Any thoughts? Paragraph thank you in advance.
Sent from my iPhone
Peter C. Young, MD
Section Head, Division of Musculoskeletal Radiology
University Hospitals Cleveland Medical Center
Case Western Reserve University
11100 Euclid Avenue Cleveland, OH 44102
(216) 844-1542
________________________________
Sent: Thursday, February 24, 2022 1:38 PM
http://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0 Abnormal Bone Marrow Signal Intensity in the Phalanges of the Foot as a Manifestation of Raynaud Phenomenon: A Report of Six Patients : American Journal of Roentgenology : Vol.
http://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0<urldefense.com/v3/__https://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0__;!!IuDQRY6mOWG9IIqcpA!Bl973RCiw9eO50OgHCG5oP7OcoXv36Gg8mTSFJevTA5LQhWLrCRSd8jiSw4GUedX2rvnrw$>
Abnormal Bone Marrow Signal Intensity in the Phalanges of the Foot as a Manifestation of Raynaud Phenomenon: A Report of Six Patients : American Journal of Roentgenology : Vol. 207, No. 6 (AJR)<urldefense.com/v3/__https://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0__;!!IuDQRY6mOWG9IIqcpA!Bl973RCiw9eO50OgHCG5oP7OcoXv36Gg8mTSFJevTA5LQhWLrCRSd8jiSw4GUedX2rvnrw$>
Raynaud phenomenon (RP) is a disorder involving the microvasculature of the extremities that is characterized by recurrent and episodic vasospasm of the digits and typically is precipitated by exposure to cold temperatures or emotional stress [].RP was first described by Maurice Raynaud in 1862; it is estimated to affect 3–5% of the global population and is more prevalent in colder climates …
http://www.ajronline.org<urldefense.com/v3/__http://www.ajronline.org__;!!IuDQRY6mOWG9IIqcpA!Bl973RCiw9eO50OgHCG5oP7OcoXv36Gg8mTSFJevTA5LQhWLrCRSd8jiSw4GUeem5uYmEw$>
Here is a nice article on the subject. Discusses other etiologies as well.
Cheers,
Tito
________________________________
Sent: Thursday, February 24, 2022 12:36 PM
WARNING: This email appears to have originated outside of the UW Health email system.
DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe.
This is 30-year-old female with foot pain especially great toe pain for last six months. Initially patient was four months postpartum. Similar finding were seen on the MRI performed December 2021. The findings are more and now there is Low T1 signal compared to previous exam. She is not a runner. I’m not sure what this is due to. The findings are greatest at the first distal feelings but present at first through fourth distal phalanges.
Any thoughts? Paragraph thank you in advance.
Sent from my iPhone
much worse than RP, in my experience….because it lasts a while and is not
really modifiable until it decides to go away)…
I really don’t know if I believe any of this.
We all cite this article when we see the occasional bright toes…but the
truth is, we just don’t know.
RP is transient. When I go out for a long walk or run on a cold (doesn’t
have to be freezing) day, I start noticing that one of my fingers feels
tight in my gloves….before it straight up hurts, and I see it’s gone
purple….then ashy
dead looking. It subsides after maybe an hour or so….depending.
I don’t see why there would be long standing reactive marrow signal
changes….esp. in the absence of surrounding soft tissue signal changes.
I don’t see that anyone provoked and attack and imaged shortly after.
Has that been done?
Not that I’m volunteering…..
Hilary
On Thu, Feb 24, 2022 at 1:38 PM Rosas, Humberto G <HRosas@uwhealth.org>
wrote:
[gallery]
In my opinion, bone edema-like signal should not be transient.
– mri changes lag clinical picture- decreased bone drainage out like muscle drainage out in doms/denervation
I see it commonly in Diabetic ischemia also and its persistent on serial scans.
Best!
AC
Avneesh Chhabra, M.D. M.B.A.
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines, Blvd. Dallas, Tx-75390-9316
Office: 214-648-2122
http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>
EXTERNAL MAIL
HI. As someone with long-standing RP…..and Chilblains to boot (that’s much worse than RP, in my experience….because it lasts a while and is not really modifiable until it decides to go away)…
I really don’t know if I believe any of this.
We all cite this article when we see the occasional bright toes…but the truth is, we just don’t know.
RP is transient. When I go out for a long walk or run on a cold (doesn’t have to be freezing) day, I start noticing that one of my fingers feels tight in my gloves….before it straight up hurts, and I see it’s gone purple….then ashy
dead looking. It subsides after maybe an hour or so….depending.
I don’t see why there would be long standing reactive marrow signal changes….esp. in the absence of surrounding soft tissue signal changes.
I don’t see that anyone provoked and attack and imaged shortly after.
Has that been done?
Not that I’m volunteering…..
Hilary
http://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0
Abnormal Bone Marrow Signal Intensity in the Phalanges of the Foot as a Manifestation of Raynaud Phenomenon: A Report of Six Patients : American Journal of Roentgenology : Vol. 207, No. 6 (AJR)<http://www.ajronline.org/doi/full/10.2214/AJR.16.16366?mobileUi=0>
Raynaud phenomenon (RP) is a disorder involving the microvasculature of the extremities that is characterized by recurrent and episodic vasospasm of the digits and typically is precipitated by exposure to cold temperatures or emotional stress [].RP was first described by Maurice Raynaud in 1862; it is estimated to affect 3–5% of the global population and is more prevalent in colder climates …
http://www.ajronline.org<http://www.ajronline.org>
Here is a nice article on the subject. Discusses other etiologies as well.
Cheers,
Tito
________________________________
Sent: Thursday, February 24, 2022 12:36 PM
WARNING: This email appears to have originated outside of the UW Health email system.
DO NOT CLICK on links or attachments unless you recognize the sender and know the content is safe.
This is 30-year-old female with foot pain especially great toe pain for last six months. Initially patient was four months postpartum. Similar finding were seen on the MRI performed December 2021. The findings are more and now there is Low T1 signal compared to previous exam. She is not a runner. I’m not sure what this is due to. The findings are greatest at the first distal feelings but present at first through fourth distal phalanges.
Any thoughts? Paragraph thank you in advance.
Sent from my iPhone