A Rare Cause Of Claudication In A 45 Year-old Runner And Cyclist - Page #1

Author: Clark Madsen, MD, MS
Co Author #1: Stephen Scharmann MD
Co Author #2: Stephen Scharmann MD
Co Author #3: Stephen Scharmann MD

Patient Presentation:
A 45 year-old professor who is an avid cyclist and runner began experiencing left calf pain resembling claudication during long rides and runs. The pain resolved over several hours with rest. He also developed parasthesias which improved after rest. His symptoms continued to worsen to the point that he sought medical attention at the university training room.

The patient has a history of Raynaud's syndrome, rotator cuff disease and a previous lumbar spine injury. He denies any alcohol, tobacco, or illicit drug use. He has a family history of Lupus.

Physical Exam:
There were no skin changes in the right leg, no palpable cord or edema noted, with no bony or soft tissue tenderness. He had normal strength other than slight weakness with plantar flexion. He had a negative straight leg raise and otherwise normal neurological exam including reflexes. Popliteal pulses were brisk and symmetric as were the posterior tibial and dorsalis pedis pulses.

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