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Case 41 

Case 41
Chapter:
Case 41
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0041
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date: 23 October 2019

A 27-year-old female with discoid lupus was referred to the rheumatology clinic with hand pain. Her pain was associated with episodic attacks of well-demarcated colour changes affecting both hands, usually on exposure to cold. She had not experienced any digital ulceration but was concerned that her lupus had become more systemic in nature. She smoked 20 cigarettes a day and drank eight cups of coffee a day. She had a past medical history of migraine and there was a family history of primary Raynaud’s phenomenon in her aunt. She had recently been prescribed hydroxychloroquine and topical steroid therapy for a rash.

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