Chapter

Case 40

Joel David, Anne Miller, Anushka Soni and Lyn Williamson

in Oxford Case Histories in Rheumatology

Published on behalf of Oxford University Press

Published in print October 2011 | ISBN: 9780199587506
Published online November 2012 | e-ISBN: 9780191753442 | DOI: http://dx.doi.org/10.1093/med/9780199587506.003.0040

Series: Oxford Case Histories

Case 40

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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.

Chapter.  1356 words.  Illustrated.

Subjects: Rheumatology

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