Case 38301

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Abstract
Presentation of CaseA thirty-five-year-old woman was admitted to the hospital because of pain and stiffness of the fingers and hands.Five months before entry the patient had the onset of "spells" during which her fingers first turned white and then became blue and mottled; these occurred every day and, although often precipitated by cold or emotional factors, also occurred independently of either of these factors. "White pills" prescribed by her physician gave some temporary relief, but then she began having swelling, tightness, pain and stiffness of the hands and fingers, which felt hot and sweaty. About a month prior . . .
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