Case 4-1988

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Abstract
Presentation of CaseA 39-year-old woman was admitted to the hospital because of peripheral cyanosis, hypotension, and acute renal failure.The patient had a 20-year history of Raynaud's phenomenon that occurred only on exposure to cold. She was well in other respects until four days earlier, when nausea developed, with vomiting of clear fluid. On the following day she began to have a mild nonproductive cough, sore throat, myalgia, chills, and sweats. In the early hours of the day of entry she awoke with painful cyanosis of the distal portions of both arms and legs, without exposure to cold. Cyanosis . . .
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