Painful Oedema of Legs

A woman with painful lesions of the legs.

CLINICAL INTRODUCTION A 78-year-old woman presented to the emergency department because of weakness and rapidly evolving painful skin lesions. Her medical history was unremarkable, and she was not taking any medications. Physical examination showed irregular violaceous lesions of the right lower limb (figure 1A), knees (figure 1B) and small bullae on the legs (figure 1C). Blood tests were norma...

"Painful legs and moving toes": the role of trauma.

A new syndrome was recently reported with the descriptive title of "painful legs and moving toes". The present paper describes five patients who developed this syndrome following minor trauma to the legs, which in three patients was attributable to surgery. Various mechanisms that may underlie this unusual combination of severe leg pain with involuntary movements of the toes are discussed, as i...

"Painful legs and moving toes" associated with polyneuropathy.

Three patients showing clinical and electrophysiological evidence of peripheral neuropathy also suffered from the syndrome of "painful legs and moving toes". Polygraphic recordings during wakefulness and sleep were consistent with the hypothesis that pathological afferent discharges arising peripherally may induce, via the spinal cord, motor excitation and pain. A severe disruption of the patte...

Teaching video NeuroImages: painful legs and moving toes syndrome.

Justin T. Mhoon, MD Kaveer Nandigam, MD Vern C. Juel, MD A 37-year-old man developed involuntary and irregular abduction, adduction, and circumductive movements of the left toes 5 years ago. One year later, he developed similar movements of the right toes (video). The movements occurred at rest, could be voluntarily suppressed, and did not persist during sleep. He also described parallel onset ...

Smoker with Raynaud phenomenon and painful nodules on the legs.