An elderly patient with multiple autoimmune conditions was found to have intermittent unilateral and bilateral tongue cyanosis consistent with Raynaud’s phenomenon in the setting of severe systemic vasculitis. Her presentation, laboratory findings, and clinical course are reviewed.
A 71-year-old woman with a history of multiple autoimmune conditions including Sjögren’s syndrome, mixed connective tissue disease, and autoimmune hepatitis was admitted to hospital for complications during treatment for marginal cell lymphoma. She …