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Hands as cold as ice
  1. Geeta Acharya1,
  2. Metesh Acharya2
  1. 1 Department of Radiology, The Royal London Hospital, London, UK
  2. 2 Department of Thoracic Surgery, Glenfield Hospital, Leicester, UK
  1. Correspondence to Mr Metesh Acharya, Department of Thoracic Surgery, Glenfield Hospital, Leicester LE3 9QP, UK; Metesh.Acharya{at}

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A healthy 24-year-old woman presented with a 1-year history of discolouration, paraesthesia and pain predominantly affecting the middle and ring fingers of both hands. Symptoms were attributed to cold exposure and resolved gradually within warmer surroundings. Physical examination revealed a well-demarcated white discolouration of the distal two-thirds of the fingers, with intense red-purple discolouration of the remaining fingers and hands (figure 1). Raynaud’s phenomenon (RP) was diagnosed clinically, …

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