Raynaud’s of the Tongue

We describe a 40-year-old lady who presents with a painful white tongue on exposure to the cold. The differential diagnosis and investigations are outlined with a discussion about this unusual presentation of a common problem. LEARNING POINTS: Raynaud’s can affect areas of the body besides the digits. Lingual Raynaud’s should be considered in patients with transient tongue pain. Alternative diagnoses should be sought if ulceration or permanent symptoms develop.