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Case 44 

Case 44
Chapter:
Case 44
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0044
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date: 23 October 2019

A 55-year-old woman presented with a 5-year history of pain and swelling in her hands and feet with bilateral numbness and tingling in the median nerve distribution. She had gained 10 kg in weight over the same period of time and developed type 2 diabetes. She attributed increasing fatigue to poor sleep quality because of backache and to snoring.

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