Show Summary Details
Page of

Case 40 

Case 40
Chapter:
Case 40
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0040
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 23 October 2019

A 21-year-old female Caucasian medical student presented to her GP with new-onset Raynaud’s phenomenon affecting both hands. She described pain and colour changes in her left arm when she raised her arms above her head. During her medical student training she had discovered that the blood pressure was different when taken in each arm. Otherwise, she was systemically well. On examination, her blood pressure was 180/94 mmHg on the left and 110/60 mmHg on the right. There were no palpable pulses at her left wrist.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.